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1417017229
WAYNE R CONRAD
SEATTLE, WA
NPI
1417017229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: WA tx 1208)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. WAYNE R CONRAD OD
4401 4TH AVE S
SEATTLE, WA 98134-2311
Phone number: 206-464-7916
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Mailing Address
Dr. WAYNE R CONRAD OD
4401 4TH AVE S
SEATTLE, WA 98134-2311
Phone number: 206-464-7916
Copy
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