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Individual

GARY SISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-2111
(903) 583-6639
Mailing address
PO BOX 65, BONHAM, TX 75418-0065

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3219T
TX

Other

Enumeration date
05/19/2006
Last updated
09/14/2010
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