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Organization

PAUL W. DONNELLY

Active
Other names
CLINTWORTH OPTICAL
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL W DONNELLY OPTICIAN (OWNER)
(360) 352-3140
Entity
Organization

Contact information

Practice address
108 22ND AVE SW, SUITE 2, OLYMPIA, WA 98501-2871
(360) 352-3140
Mailing address
108 22ND AVE SW, SUITE 2, OLYMPIA, WA 98501-2871
(360) 352-3140

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO00000478
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750405320
PAUL DONNELLY NPI
WA
Enumeration date
05/03/2007
Last updated
06/13/2008
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