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1184619132
RICHARD S GREEN
KENT, WA
NPI
1184619132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 1648TX)
Enumeration Date
2005-09-15
Last Update Date
2010-02-23
Business Address
-- RICHARD S GREEN OD
13210 SE 240TH ST SUITE C-2
KENT, WA 98042-5182
Phone number: 253-631-1530
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Mailing Address
-- RICHARD S GREEN OD
13210 SE 240TH ST SUITE C-2
KENT, WA 98042-5182
Phone number: 253-631-1530
Copy
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