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1477074458
COLLEEN ELIZABETH STANEK
PORTSMOUTH, VA
NPI
1477074458
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Former Name
COLLEEN ELIZABETH RUDD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-005822)
Enumeration Date
2017-06-29
Last Update Date
2020-02-03
Business Address
COLLEEN ELIZABETH STANEK PA-C
3636 HIGH ST
PORTSMOUTH, VA 23707-3236
Phone number: 757-398-2200
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Mailing Address
COLLEEN ELIZABETH STANEK PA-C
136 MONITOR RD
PORTSMOUTH, VA 23707-1018
Phone number: 423-307-2988
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