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Individual
MR. GARY BUHRMESTER MATTIX
Active
Individual
MR. GARY BUHRMESTER MATTIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
398
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009124
—
WA
Enumeration date
04/11/2007
Last updated
04/17/2008
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