KENNETH DOUGLAS COMMON

OLYMPIA, WA
NPI1851402085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WA  1155TX)
Enumeration Date2006-08-31
Last Update Date2008-05-21
Business Address
Dr. KENNETH DOUGLAS COMMON O.D.
625 BLACK LAKE BLVD SW SUITE #110
OLYMPIA, WA 98502-5066
Phone number: 360-357-2544
Mailing Address
Dr. KENNETH DOUGLAS COMMON O.D.
12804 SE 302ND ST
AUBURN, WA 98092-2172
Phone number: 253-887-9174
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