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1790048163
EVERETT BOBOTH
GRANDVIEW, WA
NPI
1790048163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OD60293170)
Enumeration Date
2012-06-20
Last Update Date
2012-06-20
Business Address
Dr. EVERETT BOBOTH O.D.
403 N EUCLID ST
GRANDVIEW, WA 98930-9407
Phone number: 509-882-2650
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Mailing Address
Dr. EVERETT BOBOTH O.D.
403 N EUCLID ST
GRANDVIEW, WA 98930-9407
Phone number: 509-882-2650
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