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1336204213
NATHAN WENDELL GORHAM
PUYALLUP, WA
NPI
1336204213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 3056TX)
Enumeration Date
2006-12-22
Last Update Date
2024-02-01
Business Address
Dr. NATHAN WENDELL GORHAM OD
16502 MERIDIAN E
PUYALLUP, WA 98375-2515
Phone number: 253-686-2770
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Mailing Address
Dr. NATHAN WENDELL GORHAM OD
6411 87TH ST E
PUYALLUP, WA 98371-6214
Phone number: 253-686-2770
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