Wade Nooleen, ABOC NCLC

NPI #1619472545 in Saint Paul, Minnesota

Provider Information

NPI Number
1619472545
Entity Type
Individual
Name
Wade Nooleen, ABOC NCLC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
ABOC NCLC
Enumeration Date
Mar 23, 2018
Last Updated
Mar 23, 2018

Practice Location

Address
153 CESAR CHAVEZ ST
ZIP Code
55107-2226
Phone
(651) 389-2470

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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