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1740267129
CHARLES DOUGLAS STINE
WESTON, WI
NPI
1740267129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 1909035)
Enumeration Date
2005-12-28
Last Update Date
2016-02-19
Business Address
Dr. CHARLES DOUGLAS STINE OD
4009 COMMUNITY CENTER DR
WESTON, WI 54476-4139
Phone number: 715-241-2020
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Mailing Address
Dr. CHARLES DOUGLAS STINE OD
4009 COMMUNITY CENTER DR
WESTON, WI 54476-4139
Phone number: 715-241-2020
Copy
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