Individual
DR. JULIE BETH GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
710 W SUPERIOR ST, STE A, SANDPOINT, ID 83864-1684
(208) 263-9000
(208) 263-9589
Mailing address
710 W SUPERIOR ST, STE A, SANDPOINT, ID 83864-1684
(208) 263-9000
(208) 263-9589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP895
ID
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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