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1275683104
LOREN C WAKHAM
VICTORIA, TX
NPI
1275683104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 3433T)
Enumeration Date
2007-01-11
Last Update Date
2013-03-27
Business Address
-- LOREN C WAKHAM O.D.
505 E MOCKINGBIRD LN
VICTORIA, TX 77904-2043
Phone number: 361-578-2904
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Mailing Address
-- LOREN C WAKHAM O.D.
505 E MOCKINGBIRD LN
VICTORIA, TX 77904-2043
Phone number: 361-578-2904
Copy
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