Provider First Line Business Practice Location Address:
3600 WASHBURN WAY
Provider Second Line Business Practice Location Address:
WALMART VISION CENTER
Provider Business Practice Location Address City Name:
KLAMATH FALLS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97603-4539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-885-5405
Provider Business Practice Location Address Fax Number:
541-883-1158
Provider Enumeration Date:
10/14/2010