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Individual

GRACE PETRYKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1616 PIKE RD, EL PASO, TX 79906-3412
(915) 566-8639
Mailing address
11096 CROSSETO DR, LAS VEGAS, NV 89141-3991

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11686
TX

Other

Enumeration date
06/18/2026
Last updated
06/18/2026
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