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Individual
STEPHANIE ANNE BURRIS
Active
Individual
STEPHANIE ANNE BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10928T
CA
Other
Enumeration date
11/16/2006
Last updated
12/21/2007
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