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Individual

ETHAN JOSEPH GERSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1101 S BELMONT AVE, OKMULGEE, OK 74447-6315
(918) 300-1480
Mailing address
203 S RIVERFRONT DR APT 102, JENKS, OK 74037-5676
(615) 939-1778

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3222
OK

Other

Enumeration date
04/11/2023
Last updated
01/03/2025
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