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Individual

KORY BOTELHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
411 STRANDER BLVD STE 202, TUKWILA, WA 98188-2959
(206) 575-4396
(206) 575-4396
Mailing address
411 STRANDER BLVD STE 202, TUKWILA, WA 98188-2959
(206) 575-4396

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60660393
WA

Other

Enumeration date
09/01/2016
Last updated
06/21/2022
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