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1811968878
DANIEL R EVERTS
WAUPACA, WI
NPI
1811968878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2753)
Enumeration Date
2006-01-30
Last Update Date
2011-07-18
Business Address
Mr. DANIEL R EVERTS OD
308 W FULTON ST
WAUPACA, WI 54981
Phone number: 715-258-8168
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Mailing Address
Mr. DANIEL R EVERTS OD
308 W FULTON ST
WAUPACA, WI 54981
Phone number: 715-258-8168
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