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Monte Mahan

NPI 1518124049 · on the registry since 2008 · sole proprietor

Practice

Address
20 Bellis Fair Pkwy
Bellingham, WA 98226
Phone
(360) 647-9162
Fax
(360) 647-6093
Organisation at this address
Cole Vision Corporation
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington