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1265807382
GREAT VISION NORTHWEST
BELLEVUE, WA
NPI
1265807382
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Entity Type
Organization
Authorized Contact
SHANE ONIEL DURRANT
Optometrist
614-493-6440
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 60189678)
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
GREAT VISION NORTHWEST
14230 NE 20TH ST SUITE C
BELLEVUE, WA 98007-3741
Phone number: 425-748-1000
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Mailing Address
GREAT VISION NORTHWEST
14230 NE 20TH ST SUITE C
BELLEVUE, WA 98007-3741
Phone number: 425-748-1000
Copy
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