Individual
DR. PAUL CLARENCE JUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2301 FREEWAY DR, MOUNT VERNON, WA 98273-5445
(360) 482-5033
Mailing address
1415 72ND DR SE, LAKE STEVENS, WA 98258-7356
(509) 240-4343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001723
WA
Other
Enumeration date
09/13/2006
Last updated
05/16/2019
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