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1205875655
DONALD JAMES DOMRATH
MANITOWOC, WI
NPI
1205875655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 1317)
Enumeration Date
2006-06-04
Last Update Date
2007-07-08
Business Address
Dr. DONALD JAMES DOMRATH O.D.
3415 CALUMET AVE
MANITOWOC, WI 54220-5427
Phone number: 920-683-2244
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Mailing Address
Dr. DONALD JAMES DOMRATH O.D.
7711 HOMESTEAD RD
WHITELAW, WI 54247-9710
Phone number: 920-684-5127
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