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1538588736
STEPHANIE ANN LAFOUNTAIN
OMAHA, NE
NPI
1538588736
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Former Name
STEPHANIE ANN BRADY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 1816)
Enumeration Date
2014-04-15
Last Update Date
2023-12-15
Business Address
STEPHANIE ANN LAFOUNTAIN PA-C
8303 DODGE ST
OMAHA, NE 68114-4108
Phone number: 402-354-2360
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Mailing Address
STEPHANIE ANN LAFOUNTAIN PA-C
PO BOX 3755
OMAHA, NE 68103-0755
Phone number: 402-354-2100
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