MELVIN CLYDE MERRELL

LONGVIEW, WA
NPI1578651048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: WA  DO00000643)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
-- MELVIN CLYDE MERRELL ldo/abom
1230 SEVENTH AVE.
LONGVIEW, WA 98632
Phone number: 360-636-6238
Mailing Address
-- MELVIN CLYDE MERRELL ldo/abom
PO BOX 1005
CASTLE ROCK, WA 98611-1005
Phone number: 360-274-5889
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