DEWAYNE HALVERSON

ANCHORAGE, AK
NPI1528188596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: AK  061)
Additional Taxonomies152W00000X Optometrist
(Licence: CA  4352)
Enumeration Date2007-03-31
Last Update Date2007-07-09
Business Address
-- DEWAYNE HALVERSON O.D.
3744 LAKE OTIS PKWY
ANCHORAGE, AK 99508-5208
Phone number: 907-561-5118
Mailing Address
-- DEWAYNE HALVERSON O.D.
3744 LAKE OTIS PKWY
ANCHORAGE, AK 99508-5208
Phone number:
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