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Individual

DR. GERALD GEORGE GERDES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
414 E 7TH AVE, OAKDALE, LA 71463-2624
(318) 335-3275
Mailing address
414 E 7TH AVE, OAKDALE, LA 71463-2624
(318) 335-3275

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1339527T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1464619
LA
Enumeration date
02/05/2007
Last updated
07/25/2014
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