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1801955737
EDGAR P CROCKETT
TUKWILA, WA
NPI
1801955737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OD00001214)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- EDGAR P CROCKETT OD
70 ANDOVER PARK W
TUKWILA, WA 98188
Phone number: 206-439-7588
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Mailing Address
-- EDGAR P CROCKETT OD
70 ANDOVER PARK W
TUKWILA, WA 98188
Phone number: 206-439-7588
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