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1518099027
STEPHANIE CARROLL BERNARD
LEESBURG, VA
NPI
1518099027
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Former Name
STEPHANIE CAMPBELL CARROLL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110005158)
Enumeration Date
2007-03-10
Last Update Date
2017-05-04
Business Address
Mrs. STEPHANIE CARROLL BERNARD PA-C, RD
44160 SCHOLAR PLZ
LEESBURG, VA 20176-3459
Phone number: 540-542-6546
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Mailing Address
Mrs. STEPHANIE CARROLL BERNARD PA-C, RD
20893 FOWLERS MILL CIR
ASHBURN, VA 20147-4810
Phone number: 617-571-7194
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