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Individual
VY NGO STEPHAN
Active
Individual
VY NGO STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606437
—
AZ
Enumeration date
12/07/2010
Last updated
06/01/2011
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