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1134449614
JAMIE LICHTENSTEIN STACKMAN
GAITHERSBURG, MD
NPI
1134449614
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Former Name
JAMIE NICOLE LICHTENSTEIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C0004117)
Enumeration Date
2010-06-07
Last Update Date
2013-12-19
Business Address
Mrs. JAMIE LICHTENSTEIN STACKMAN PA-C
7 GRANITE PL STE 14
GAITHERSBURG, MD 20878-6607
Phone number: 240-631-1170
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Mailing Address
Mrs. JAMIE LICHTENSTEIN STACKMAN PA-C
7 GRANITE PLACE, SUITE 14
GAITHERSBURG, MD 20878-3201
Phone number: 240-631-1170
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