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Individual

DR. ROBERT DALE CAGNOLATTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1812 ROSELAWN AVE, MONROE, LA 71201-5434
(318) 387-9626
(318) 325-9425
Mailing address
PO BOX 524, DELHI, LA 71232-0524
(318) 450-0356

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
883-328T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1351865
LA
Enumeration date
07/14/2006
Last updated
08/25/2010
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