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1831134600
KELLY KRISTINE LARSEN
BELLINGHAM, WA
NPI
1831134600
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Former Name
KELLY KRISTINE LUTHY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OD00003987)
Enumeration Date
2006-06-17
Last Update Date
2015-07-31
Business Address
-- KELLY KRISTINE LARSEN O.D.
720 BIRCHWOOD AVE
BELLINGHAM, WA 98225-1714
Phone number: 360-733-1720
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Mailing Address
-- KELLY KRISTINE LARSEN O.D.
PO BOX 5566
BELLINGHAM, WA 98227-5566
Phone number: 360-733-1720
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