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1528166634
RUSSELL L DOERKSEN
WICHITA, KS
NPI
1528166634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1324)
Enumeration Date
2006-09-20
Last Update Date
2015-06-10
Business Address
Dr. RUSSELL L DOERKSEN O.D.
7570 W 21ST ST N BLDG 1002
WICHITA, KS 67205-1734
Phone number: 316-721-3377
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Mailing Address
Dr. RUSSELL L DOERKSEN O.D.
7570 W 21ST ST N BLDG 1002
WICHITA, KS 67205-1734
Phone number: 316-721-3377
Copy
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