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Individual

JAY DEAN STEARNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3229
AK
207R00000X
Internal Medicine Physician
EL191043
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014205
VT
Enumeration date
09/21/2007
Last updated
12/04/2019
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