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MR. STEPHEN ALLEN STANSBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
5745 HWY 17, WINNSBORO, LA 71295
(318) 722-3333
Mailing address
203 CHADWICK DR, WEST MONROE, LA 71291-9547
(318) 235-0161

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96401
LA
363LF0000X
Family Nurse Practitioner
Primary
6882
LA

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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