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Vision Plus of Ballard

5406 LearyAve NW
Seattle, WA 96107
Phone: (206) 784-0700
Fax: (206) 706-8822

Contact Lens Rx
Patient: Baker, Carson Rx Date: 23-Nov-2019
1511 NW 52nd St
Seattie, WA 98107
Expiration: 23-Nov-2021
(425)306-9042(C) (425)308-9042(H)

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Prism BaseCurve L Diameter Mulilfocal


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Manufacturer [ Lens ‘l Coior ”Tm Majenai
0D: Alcon Dailies Aqua Comfort Plus Clear

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Replacement Schedule:

Jinous Ferdosian, O.D.


License: 0D60571991
NPI#: 1366816340

Printed: Nov-26-2019 12:13 PM

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