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1558393975
STEPHEN L MOON
FAIRMONT, WV
NPI
1558393975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 783D)
Enumeration Date
2006-07-07
Last Update Date
2018-04-10
Business Address
Dr. STEPHEN L MOON OD
1322 LOCUST AVE
FAIRMONT, WV 26554-1436
Phone number: 304-366-0700
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Mailing Address
Dr. STEPHEN L MOON OD
PO BOX 1112
FAIRMONT, WV 26555-1112
Phone number: 304-366-0700
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