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1306983648
ANDREW DAVID STACK
NEW HAVEN, CT
NPI
1306983648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CT 2289)
Enumeration Date
2007-01-30
Last Update Date
2022-03-17
Business Address
Dr. ANDREW DAVID STACK O.D.
1457 WHALLEY AVE
NEW HAVEN, CT 06515-1153
Phone number: 203-387-3937
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Mailing Address
Dr. ANDREW DAVID STACK O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number:
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