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Individual

MRS. VIRGINIA STOKES ST. ANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O., L.O.

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OPP00157
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO003046
AMERICAN BOARD FOR CERTIFIECATION IN ORTHOTICS AND PROSTHETICS, INC.
01
OPP00157
ARKANSAS STATE BOARD OF HEALTH
AR
Enumeration date
10/10/2008
Last updated
10/24/2008
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