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Individual
GREGG C. PUSATERI
Active
Individual
GREGG C. PUSATERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
046007939
IL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPT.0003639
CO
Other
Enumeration date
12/26/2012
Last updated
08/12/2021
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