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1366633679
WALDPORT EYE CARE LLC
WALDPORT, OR
NPI
1366633679
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Entity Type
Organization
Authorized Contact
KEVIN DEAN BLAIR
Member
541-563-4100
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2007-08-05
Last Update Date
2008-03-13
Business Address
WALDPORT EYE CARE LLC
525 NW WILLOW
WALDPORT, OR 97394
Phone number: 541-563-4100
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Mailing Address
WALDPORT EYE CARE LLC
PO BOX 888
WALDPORT, OR 97394-0888
Phone number: 541-563-4100
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