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Individual

STEPHANIE JUNE BORTNER

Active
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Individual

STEPHANIE JUNE BORTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02382
NC
363AM0700X
Medical Physician Assistant
006061
GA
363AM0700X
Medical Physician Assistant
PA9016093
FL
363AS0400X
Surgical Physician Assistant
Primary
PA030935
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010-02382
NC LICENSE
NC
Enumeration date
06/28/2010
Last updated
12/29/2022
Update your record

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