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Individual

DR. JEROME E GUNDERSHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
600 E TAYLOR ST, STE. 210, SHERMAN, TX 75090-2881
(903) 868-1135
(903) 891-0181
Mailing address
600 E TAYLOR ST, STE. 210, SHERMAN, TX 75090-2881
(903) 868-1135
(903) 891-0181

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3473TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0933483-01
TX
Enumeration date
08/12/2005
Last updated
08/03/2010
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