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Individual

DR. DEWANNA K STAUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6838 HIGHWAY 431 S, SUITE A, OWENS CROSS ROADS, AL 35763-7200
(256) 534-3900
Mailing address
6838 HIGHWAY 431 S, SUITE A, OWENS CROSS ROADS, AL 35763-7200
(256) 534-3900

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-782-TA-246
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000058516
AL
Enumeration date
06/27/2006
Last updated
05/06/2008
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