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1699738302
STANLEY J. KOTARA
LUBBOCK, TX
NPI
1699738302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA03194)
Enumeration Date
2006-04-11
Last Update Date
2011-11-22
Business Address
-- STANLEY J. KOTARA PA
4110 22ND PL
LUBBOCK, TX 79410-1122
Phone number: 806-792-4329
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Mailing Address
-- STANLEY J. KOTARA PA
4110 22ND PL
LUBBOCK, TX 79410-1122
Phone number: 806-792-4329
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