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1760524813
ROGER WALDECK
AVONDALE, AZ
NPI
1760524813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 505)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
ROGER WALDECK O.D.
10000 W MCDOWELL RD
AVONDALE, AZ 85323-4803
Phone number: 923-907-5666
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Mailing Address
ROGER WALDECK O.D.
3806 E SEQUOIA TRL
PHOENIX, AZ 85044-3013
Phone number:
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