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Individual

MR. STEPHEN J MCLENDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPT

Contact information

Practice address
178 ANA DR, FLORENCE, AL 35630-1759
(256) 718-6002
(256) 718-6026
Mailing address
178 ANA DR, FLORENCE, AL 35630-1759
(256) 718-6002
(256) 718-6026

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467593921
JODYGROUP NPI
AL
01
1902951775
NPI MEDICARE
AL
Enumeration date
05/18/2007
Last updated
07/08/2007
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