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Individual

DR. GENE B GRUBBS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2360 E PERSHING BLVD, CODE 112, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
2360 E PERSHING BLVD, CODE 112, CHEYENNE, WY 82001-5356
(307) 778-7550

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2095
CO

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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