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1093756371
KENNETH L. STACK
ALBANY, NY
NPI
1093756371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV004607-1)
Enumeration Date
2006-06-09
Last Update Date
2011-10-24
Business Address
Dr. KENNETH L. STACK O.D.
24 ROSEMONT ST
ALBANY, NY 12203-2405
Phone number: 518-438-6669
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Mailing Address
Dr. KENNETH L. STACK O.D.
24 ROSEMONT ST
ALBANY, NY 12203-2405
Phone number: 518-438-6669
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