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1174886220
DANIEL ADAM ELLIS
SPOKANE, WA
NPI
1174886220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: WA DO-00000549)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
Mr. DANIEL ADAM ELLIS L.D.O.
N. 1804 WASHINGTON YE OLDE OPTICAL SHOPPE
SPOKANE, WA 99205-4757
Phone number: 509-326-3459
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Mailing Address
Mr. DANIEL ADAM ELLIS L.D.O.
N. 1804 WASHINGTON YE OLDE OPTICAL SHOPPE
SPOKANE, WA 99205-4757
Phone number: 509-326-3459
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