DOUGLAS FAIRBANKS

SILVERDALE, WA
NPI1316185283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: WA  845)
Enumeration Date2009-01-29
Last Update Date2009-01-29
Business Address
-- DOUGLAS FAIRBANKS L.D.O.
3260 NW MOUNT VINTAGE WAY
SILVERDALE, WA 98383-6000
Phone number: 360-698-1685
Mailing Address
-- DOUGLAS FAIRBANKS L.D.O.
3260 NW MOUNT VINTAGE WAY
SILVERDALE, WA 98383-6000
Phone number: 360-698-1685
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