CHARLES R. VANDERVORT

GREEN RIVER, WY
NPI1629047758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WY  101T)
Enumeration Date2006-03-14
Last Update Date2012-09-17
Business Address
-- CHARLES R. VANDERVORT O.D.
665 UINTA DR
GREEN RIVER, WY 82935-5031
Phone number: 307-875-4538
Mailing Address
-- CHARLES R. VANDERVORT O.D.
665 UINTA DR
GREEN RIVER, WY 82935-5031
Phone number: 307-875-4538
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