DOUGLAS DEAN WALLIN

SIOUX FALLS, SD
NPI1114923034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: SD  525)
Enumeration Date2005-06-24
Last Update Date2016-04-06
Business Address
-- DOUGLAS DEAN WALLIN OD
3101 W 57TH ST
SIOUX FALLS, SD 57108-3162
Phone number: 605-361-3937
Mailing Address
-- DOUGLAS DEAN WALLIN OD
3101 W 57TH ST
SIOUX FALLS, SD 57108-3162
Phone number: 605-361-3937
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