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1447706957
JUSTIN BURGERSON
SPOKANE VALLEY, WA
NPI
1447706957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OD60672832)
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
-- JUSTIN BURGERSON
20 N EVERGREEN RD # 102
SPOKANE VALLEY, WA 99216-5083
Phone number: 509-924-5665
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Mailing Address
-- JUSTIN BURGERSON
6705 N RYLEY LN
OTIS ORCHARDS, WA 99027-8226
Phone number:
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