KIRK D WALLIS

LANCASTER, CA
NPI1649315920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CA  6273)
Enumeration Date2007-02-21
Last Update Date2012-09-18
Business Address
-- KIRK D WALLIS R.D.O.
44407 10TH ST W
LANCASTER, CA 93534-3345
Phone number: 661-942-6515
Mailing Address
-- KIRK D WALLIS R.D.O.
44407 10TH ST W
LANCASTER, CA 93534-3345
Phone number: 661-942-6515
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