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Individual

DON W GAYSO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6060 PRIMACY PKWY, SUITE 200, MEMPHIS, TN 38119-5745
(901) 761-4620
(901) 761-3072
Mailing address
6060 PRIMACY PKWY, SUITE 200, MEMPHIS, TN 38119-5745
(901) 761-4620
(901) 761-3072

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2612
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3704130
TN
Enumeration date
02/21/2006
Last updated
07/08/2007
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