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Individual

STEPHEN W HARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1816 N BRIDGE ST, ELKIN, NC 28621-2104
(336) 835-2244
(336) 835-9961
Mailing address
1816 N BRIDGE ST, ELKIN, NC 28621-2104
(336) 835-2244
(336) 835-9961

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1293
NC

Other

Enumeration date
12/28/2005
Last updated
02/29/2008
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