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Individual
DR. WADE ROGER DEMORDAUNT
Active
Individual
DR. WADE ROGER DEMORDAUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14349
CA
152WC0802X
Corneal and Contact Management Optometrist
1853
AZ
152WC0802X
Corneal and Contact Management Optometrist
351670-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-959
ID
Other
Enumeration date
05/03/2006
Last updated
02/01/2016
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