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Individual

STEPHEN MATTHEW WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
9040A JACKSON AVE, JBLM, WA 98431
(253) 968-1110
Mailing address
9040A JACKSON AVE, APO, AA 98431
(253) 968-1110

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12306512-9934
UT

Other

Enumeration date
08/30/2021
Last updated
04/13/2026
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