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1811052798
KENNETH D. COMMON, O.D., P.S.
OLYMPIA, WA
NPI
1811052798
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Entity Type
Organization
Authorized Contact
KENNETH DOUGLAS COMMON
President
360-357-2544
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: WA 1155)
Enumeration Date
2006-12-22
Last Update Date
2020-08-22
Business Address
KENNETH D. COMMON, O.D., P.S.
625 BLACK LAKE BLVD SW SUITE #110
OLYMPIA, WA 98502-5066
Phone number: 360-357-2544
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Mailing Address
KENNETH D. COMMON, O.D., P.S.
625 BLACK LAKE BLVD SW SUITE #110
OLYMPIA, WA 98502-5066
Phone number: 360-357-2544
Copy
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