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Individual

STEPHEN E MERRICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
3405 BRAMBLETON AVE, ROANOKE, VA 24018-6519
(540) 344-2020
(540) 777-1125
Mailing address
3405 BRAMBLETON AVE, ROANOKE, VA 24018-6519
(540) 344-2020
(540) 777-1125

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
06/24/2013
Last updated
06/24/2013
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