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Individual

STEWART WESLEY CALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 638-6644
Mailing address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 638-6644

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
05/05/2014
Last updated
05/05/2014
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