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Individual

LARRY R STEEDLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4601 RAMSEY ST, FAYETTEVILLE, NC 28311-2138
(910) 488-4674
Mailing address
3561 STEDMAN CEDAR CREEK RD, FAYETTEVILLE, NC 28312-7598
(910) 964-5407

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1806
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89093R8
NC
Enumeration date
06/01/2006
Last updated
11/08/2010
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