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Individual

C.J. POLLET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3421 HIGHWAY 190, MANDEVILLE, LA 70471-3101
(985) 626-8744
(985) 626-5244
Mailing address
948 CHUKA CT, MANDEVILLE, LA 70471-1508
(985) 626-8744
(985) 626-5244

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
986-117T
LA
152WC0802X
Corneal and Contact Management Optometrist
986-117T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1382965
LA
Enumeration date
03/24/2006
Last updated
03/28/2013
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