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1316195910
DAVID WALLACE DAVIDSON
WHEATON, MD
NPI
1316195910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MD TA1933)
Enumeration Date
2008-09-08
Last Update Date
2008-09-08
Business Address
Dr. DAVID WALLACE DAVIDSON O.D.
11160 VEIRS MILL RD SPC G1
WHEATON, MD 20902-2542
Phone number: 301-949-3960
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Mailing Address
Dr. DAVID WALLACE DAVIDSON O.D.
11160 VEIRS MILL RD SPC G1
WHEATON, MD 20902-2542
Phone number: 301-949-3960
Copy
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