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1902855414
GUY ANDREW DIETELS
ROANOKE, VA
NPI
1902855414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: VA 061800456)
Enumeration Date
2006-05-10
Last Update Date
2008-07-18
Business Address
Dr. GUY ANDREW DIETELS O.D.
1455 TOWNE SQUARE BLVD NW
ROANOKE, VA 24012-1612
Phone number: 540-265-0595
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Mailing Address
Dr. GUY ANDREW DIETELS O.D.
75 BITTERSWEET LN
HARDY, VA 24101-3333
Phone number: 540-427-0567
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