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1083659015
STEPHEN RAY ROARK
COLORADO SPRINGS, CO
NPI
1083659015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CO CO1490)
Enumeration Date
2006-06-16
Last Update Date
2007-07-09
Business Address
-- STEPHEN RAY ROARK O.D
3510 GALLEY RD
COLORADO SPRINGS, CO 80909-4353
Phone number: 719-597-4423
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Mailing Address
-- STEPHEN RAY ROARK O.D
11745 FORT WORTH RD
PEYTON, CO 80831-6721
Phone number: 719-597-4423
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