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Individual

MR. CHARLES LEWIS JOBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13909 MERIDIAN E STE A4, PUYALLUP, WA 98373-9180
(253) 848-2338
(253) 848-5543
Mailing address
13909 MERIDIAN E STE A4, PUYALLUP, WA 98373-9180
(253) 848-2338
(253) 848-5543

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WI3145
REGENCE
WA
Enumeration date
05/01/2007
Last updated
07/08/2007
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