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1679835896
STEPHANIE J CARROLL
TRAVIS AFB, CA
NPI
1679835896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 131193)
Enumeration Date
2012-06-13
Last Update Date
2022-02-11
Business Address
STEPHANIE J CARROLL M.D.
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-5349
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Mailing Address
STEPHANIE J CARROLL M.D.
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number:
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