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1669730206
STEPHANIE LYN ISAACSON
SANTA TERESA, NM
NPI
1669730206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: TX SA00422)
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- STEPHANIE LYN ISAACSON LSA
111 DESERT SAGE CT
SANTA TERESA, NM 88008-9107
Phone number: 915-494-0987
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Mailing Address
-- STEPHANIE LYN ISAACSON LSA
111 DESERT SAGE CT
SANTA TERESA, NM 88008-9107
Phone number: 915-494-0987
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