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Individual

DR. DOUGLAS ROBERT RICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2310 LONGFIBRE AVE, UNION GAP, WA 98903-1513
(509) 454-5253
(509) 454-5254
Mailing address
1907 WELLINGTON DR, YAKIMA, WA 98903-1131
(509) 966-1517

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60171104
WA

Other

Enumeration date
09/16/2010
Last updated
04/15/2012
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