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1003134248
RUSSELL HALE MATTERN
WOODBRIDGE, VA
NPI
1003134248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0601000964)
Enumeration Date
2010-05-12
Last Update Date
2010-05-12
Business Address
Dr. RUSSELL HALE MATTERN OD
2700 POTOMAC MILLS CIR SUITE 207
WOODBRIDGE, VA 22192-4625
Phone number: 703-490-5275
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Mailing Address
Dr. RUSSELL HALE MATTERN OD
2700 POTOMAC MILLS CIR SUITE 207
WOODBRIDGE, VA 22192-4625
Phone number: 703-490-5275
Copy
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