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1861401267
KENNETH JOHN WICH
ELLSWORTH, ME
NPI
1861401267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ME OPT 793)
Enumeration Date
2006-08-05
Last Update Date
2012-01-18
Business Address
DR. KENNETH JOHN WICH O.D.
82 WATER ST
ELLSWORTH, ME 04605-2006
Phone number: 207-667-8615
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Mailing Address
DR. KENNETH JOHN WICH O.D.
82 WATER ST
ELLSWORTH, ME 04605-2006
Phone number: 207-667-8615
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