JAY WILFRED MAUCK

THE DALLES, OR
NPI1184608325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OR  12417)
Enumeration Date2005-12-01
Last Update Date2007-11-16
Business Address
-- JAY WILFRED MAUCK OD
415 WASHINGTON ST
THE DALLES, OR 97058-2215
Phone number: 541-296-2911
Mailing Address
-- JAY WILFRED MAUCK OD
PO BOX 883
THE DALLES, OR 97058-0883
Phone number: 541-296-2911
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