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1114923034
DOUGLAS DEAN WALLIN
SIOUX FALLS, SD
NPI
1114923034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SD 525)
Enumeration Date
2005-06-24
Last Update Date
2024-05-21
Business Address
DOUGLAS DEAN WALLIN OD
3101 W 57TH ST
SIOUX FALLS, SD 57108-3162
Phone number: 605-361-3937
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Mailing Address
DOUGLAS DEAN WALLIN OD
3101 W 57TH ST
SIOUX FALLS, SD 57108-3162
Phone number: 605-371-7100
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