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Individual

KRISTEN RUNKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
9909 GEORGETOWN PIKE, GREAT FALLS, VA 22066
(703) 759-0061
(703) 759-0063
Mailing address
908 WINSTEAD ST, GREAT FALLS, VA 22066
(703) 757-6664
(703) 757-6667

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0118000120
VA

Other

Enumeration date
08/17/2006
Last updated
02/02/2009
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