GARY DANIEL WALDROP

SHASTA LAKE, CA
NPI1861516007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CA  141463)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
Mr. GARY DANIEL WALDROP Optician
4601 SHASTA DAM BLVD
SHASTA LAKE, CA 96019-9413
Phone number: 530-275-8581
Mailing Address
Mr. GARY DANIEL WALDROP Optician
4601 SHASTA DAM BLVD
SHASTA LAKE, CA 96019-9413
Phone number: 530-275-8581
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