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1629440870
WAYNE GOLDMAN
DAVIE, FL
NPI
1629440870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1100X Technician/Technologist Ophthalmic
(Licence: FL DO3856)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
WAYNE GOLDMAN
12960 WEST STATE ROAD 84
DAVIE, FL 33325
Phone number: 954-424-3130
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Mailing Address
WAYNE GOLDMAN
12960 W STATE ROAD 84
DAVIE, FL 33325-3306
Phone number: 954-424-3130
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