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1942255906
DOUGLAS CHARLES MINER
MESA, AZ
NPI
1942255906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 641)
Enumeration Date
2006-05-24
Last Update Date
2007-11-29
Business Address
DOUGLAS CHARLES MINER O.D.
1635 N GREENFIELD RD SUITE 136
MESA, AZ 85205-4005
Phone number: 480-219-2412
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Mailing Address
DOUGLAS CHARLES MINER O.D.
4820 E FAIRFIELD ST
MESA, AZ 85205-5344
Phone number:
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