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Individual

MRS. SHEILA MARIE HAWES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN/CL PRACTITI

Contact information

Practice address
159 MAPLE ST, MASSENA, NY 13662-1052
(315) 764-1878
(315) 764-0591
Mailing address
159 MAPLE ST, MASSENA, NY 13662-1052
(315) 764-1878
(315) 764-0591

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5050
NY

Other

Enumeration date
04/06/2009
Last updated
04/06/2009
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