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Individual

STEPHEN POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
410 E MARKET ST, 103, CHARLOTTESVILLE, VA 22902-5214
(434) 995-2240
(434) 995-2241
Mailing address
410 E MARKET ST, 103, CHARLOTTESVILLE, VA 22902-5214
(434) 995-2240
(434) 995-2241

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002515
VA

Other

Enumeration date
06/26/2015
Last updated
06/26/2015
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