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1891343174
STEPHANIE J HERALD
GARY, IN
NPI
1891343174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: IN 75000045A)
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
STEPHANIE J HERALD CAA
600 GRANT ST
GARY, IN 46402-6001
Phone number: 219-886-4000
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Mailing Address
STEPHANIE J HERALD CAA
512 W WRIGHTWOOD AVE APT 2B
CHICAGO, IL 60614-4930
Phone number:
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