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1356850390
STEVEN STALLENS HAGEWOOD
FORT MYERS, FL
NPI
1356850390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9110717)
Enumeration Date
2017-09-21
Last Update Date
2022-06-07
Business Address
STEVEN STALLENS HAGEWOOD PA-C
13340 METRO PKWY STE 400
FORT MYERS, FL 33966-4818
Phone number: 239-343-1105
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Mailing Address
STEVEN STALLENS HAGEWOOD PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-1105
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