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Individual
WILEY F CURTIS
Active
Individual
WILEY F CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3023TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202450001
MEDICARE DMERC SUPPLIER
TX
Enumeration date
08/31/2005
Last updated
07/08/2007
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