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Individual

RICHARD STANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN-BSN

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
7990849-3102
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7990849-3101
LPN
UT
Enumeration date
04/20/2016
Last updated
08/07/2020
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