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Individual

RONALD A STELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
201 LANNY BRIDGES AVE, COVINGTON, TN 38019-1615
(901) 475-4288
Mailing address
201 LANNY BRIDGES AVE, COVINGTON, TN 38019-1615
(901) 475-4288

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
616D
WV
152W00000X
Optometrist
Primary
OD0000002574
TN

Other

Enumeration date
10/25/2006
Last updated
04/18/2008
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