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Individual

GERALD JOHN GARRELS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
11780 SAN PABLO AVE STE B, EL CERRITO, CA 94530-7103
(510) 234-1730
Mailing address
1055 CROWS NEST WAY, RICHMOND, CA 94803-2634
(510) 223-3773

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 6223
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0062230
CA
Enumeration date
02/27/2007
Last updated
07/09/2007
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