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1457321069
MARK A MICHAEL
PASCO, WA
NPI
1457321069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 1383-TX)
Enumeration Date
2006-01-25
Last Update Date
2007-11-29
Business Address
-- MARK A MICHAEL O.D.
4403 W COURT ST SUITE J
PASCO, WA 99301-2879
Phone number: 509-547-9695
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Mailing Address
-- MARK A MICHAEL O.D.
4403 W COURT ST SUITE J
PASCO, WA 99301-2879
Phone number: 509-547-9695
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