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Individual

DR. HARPER BREANN GILLENTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1626 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85395-1399
(713) 797-1010
Mailing address
63 S ROCKFORD DR STE 220, TEMPE, AZ 85288-6226
(602) 598-7491

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
11111TG
TX
152W00000X
Optometrist
Primary
OPT-002866
AZ

Other

Enumeration date
06/29/2024
Last updated
08/07/2025
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