Individual
NICOLE LEE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30652 RED ROCK CT, LOGAN, OH 43138-9670
(740) 385-4006
Mailing address
673 W WASHINGTON ST, NELSONVILLE, OH 45764-9745
(740) 517-0977
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007033
OH
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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