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Individual

MR. STEPHEN WADE MARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 437-3581
(510) 437-3611
Mailing address
COMDT (CG-1122), U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593
(510) 437-3581

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
06/26/2007
Last updated
07/08/2007
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