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1346338530
MARK DOUGLAS MOORE
WICHITA, KS
NPI
1346338530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1367)
Enumeration Date
2006-10-11
Last Update Date
2012-03-08
Business Address
Dr. MARK DOUGLAS MOORE O. D.
2020 N TYLER RD STE 124
WICHITA, KS 67212-4916
Phone number: 316-729-0083
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Mailing Address
Dr. MARK DOUGLAS MOORE O. D.
2020 N TYLER RD STE 124
WICHITA, KS 67212-4916
Phone number: 316-729-0083
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