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1588699078
GERALD L WODTLI
PASCO, WA
NPI
1588699078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OL1070)
Enumeration Date
2006-07-12
Last Update Date
2010-02-02
Business Address
-- GERALD L WODTLI O.D.
1906 N 20TH AVE
PASCO, WA 99301-3393
Phone number: 509-547-8409
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Mailing Address
-- GERALD L WODTLI O.D.
1906 N 20TH AVE
PASCO, WA 99301-3393
Phone number: 509-547-8409
Copy
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