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Individual

JOSH BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
1718 SUMNER AVE, ABERDEEN, WA 98520
(360) 681-3478
Mailing address
PO BOX 23, ABERDEEN, WA 98520-0006
(360) 591-6421

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60108194
WA

Other

Enumeration date
08/02/2017
Last updated
01/29/2018
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