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Individual

DR. JEFFREY STIKELEATHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
303 S ACADEMY ST, CARY, NC 27511-3304
(919) 467-9834
Mailing address
303 S ACADEMY ST, CARY, NC 27511-3304

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1627
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89093AN
NC
Enumeration date
07/26/2005
Last updated
03/03/2008
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