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Individual

CORY W MANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OL1859
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0070315
DEPT OF LABOR & INDUSTRY
WA
05
2027712
WA
01
410049227
RAILROAD MEDICARE
WA
Enumeration date
07/12/2006
Last updated
02/04/2010
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