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Individual

DR. MICHAEL KALANI DE ROSIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
26 W H ST, SUITE A, DEER PARK, WA 99006-7167
(509) 276-6932
(509) 276-1608
Mailing address
26 W H ST, SUITE A, DEER PARK, WA 99006-7167
(509) 276-6932
(509) 276-1608

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1538
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2098804
WA
Enumeration date
05/31/2005
Last updated
02/07/2008
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