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1881751501
WAYNE ALAN HALSTROM
NEWARK, CA
NPI
1881751501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 5864TPA)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- WAYNE ALAN HALSTROM O.D.
1123 NEWPARK MALL
NEWARK, CA 94560-5246
Phone number: 510-791-2020
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Mailing Address
-- WAYNE ALAN HALSTROM O.D.
35 MACKENZIE PL
DANVILLE, CA 94526-2919
Phone number: 925-820-5078
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