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Individual
STUART ALLAN
Active
Individual
STUART ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28182561A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006523A
IN
Other
Enumeration date
08/25/2016
Last updated
09/02/2016
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