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1629241112
OVERLAKE FAMILY VISION, PLLC
BELLEVUE, WA
NPI
1629241112
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Entity Type
Organization
Authorized Contact
MARY E BAKER
Owner
425-638-0700
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: WA 1995TX)
Enumeration Date
2008-04-07
Last Update Date
2010-05-15
Business Address
OVERLAKE FAMILY VISION, PLLC
1135 116TH AVE NE STE120
BELLEVUE, WA 98004-4626
Phone number: 425-638-0700
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Mailing Address
OVERLAKE FAMILY VISION, PLLC
1135 116TH AVE NE STE120
BELLEVUE, WA 98004-4626
Phone number: 425-638-0700
Copy
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