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Individual
STEPHEN M PURDY
Active
Individual
STEPHEN M PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7817T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7817TG
LICENSE
TX
Enumeration date
07/08/2011
Last updated
08/30/2018
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