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1205018819
KEITH STAPLES
NORFOLK, VA
NPI
1205018819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-12-05
Last Update Date
2007-12-05
Business Address
Mr. KEITH STAPLES
1310 8TH ST SUITE 100
NORFOLK, VA 23521-2416
Phone number: 757-462-8624
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Mailing Address
Mr. KEITH STAPLES
1021 SILVER CHARM CIR SUITE 100
SUFFOLK, VA 23435-3340
Phone number: 757-334-2023
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