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Individual

DR. EARL JOSEPH PRIMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O. D.

Contact information

Practice address
880 N HIGHWAY 190, COVINGTON, LA 70433-5147
(985) 867-8708
(985) 867-8711
Mailing address
205 STONEWOOD DR, COVINGTON, LA 70433-5819
(504) 606-1701
(985) 871-9953

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1332-466T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1153796
LA
Enumeration date
03/03/2006
Last updated
03/11/2019
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