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Individual

ALEXANDRA E GADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
85 WEST HIGHWAY 22, SANTO DOMINGO, NM 87052-0340
(505) 465-3060
Mailing address
847 LARKIN AVE, CREVE COEUR, MO 63141-7738
(847) 693-6554

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
728
NM
152W00000X
Optometrist
Primary
OPT.0C03484
CO

Other

Enumeration date
06/27/2019
Last updated
09/10/2021
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