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1528188596
DEWAYNE HALVERSON
ANCHORAGE, AK
NPI
1528188596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AK 061)
Additional Taxonomies
152W00000X Optometrist
(Licence: CA 4352)
Enumeration Date
2007-03-31
Last Update Date
2007-07-09
Business Address
-- DEWAYNE HALVERSON O.D.
3744 LAKE OTIS PKWY
ANCHORAGE, AK 99508-5208
Phone number: 907-561-5118
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Mailing Address
-- DEWAYNE HALVERSON O.D.
3744 LAKE OTIS PKWY
ANCHORAGE, AK 99508-5208
Phone number:
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