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Individual

MR. JARAD M. WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D. PA

Contact information

Practice address
311 NW 3RD ST, ABILENE, KS 67410
(785) 263-2020
(785) 263-1290
Mailing address
202 NW 15TH ST, ABILENE, KS 67410-1579
(785) 263-2020
(785) 263-1290

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1667
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952401085
NPI
KS
Enumeration date
09/25/2006
Last updated
03/05/2018
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