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1982790721
SHELBY G WICKHORST
VANCOUVER, WA
NPI
1982790721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WA 3526)
Enumeration Date
2006-10-05
Last Update Date
2007-07-09
Business Address
-- SHELBY G WICKHORST O.D.
1901 NE 162ND AVE STE D102
VANCOUVER, WA 98684-3010
Phone number: 360-944-1911
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Mailing Address
-- SHELBY G WICKHORST O.D.
1901 NE 162ND AVE STE D102
VANCOUVER, WA 98684-3010
Phone number: 360-944-1911
Copy
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