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Individual

STEPHEN ALLRED III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
081047114N3 ANP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
AP30003743
WA

Other

Enumeration date
02/22/2007
Last updated
01/14/2008
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