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Individual

GERALD COLEY I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11175 MT. VIEW AVE.,UNIVERSITY OPTICAL, SUITE F, LOMA LINDA, CA 92354-3807
(909) 796-8000
(909) 796-8004
Mailing address
11175 MT. VIEW, SUITE F, UNIVERSITY OPTICAL, LOMA LINDA, CA 92354-3807
(909) 796-8000
(909) 796-8004

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D2597
CA

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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