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Individual
CASSANDRA STEPHENS
Active
Individual
CASSANDRA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31329
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64032014
—
KY
Enumeration date
06/27/2005
Last updated
08/03/2015
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