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1811713464
WANDA STAN
ANNAPOLIS, MD
NPI
1811713464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0009732)
Enumeration Date
2024-11-27
Last Update Date
2024-11-27
Business Address
WANDA STAN PA-C
695 KINKAID RD
ANNAPOLIS, MD 21402-1006
Phone number: 443-822-2263
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Mailing Address
WANDA STAN PA-C
3609 TRILLIUM DR
PLANO, TX 75093-7232
Phone number: 770-685-9901
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