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Individual

ERELDA GENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
ROUTE 301 NORTH 21 B STREET, ZUNI, NM 87327
(505) 782-7577
Mailing address
PO BOX 467, ZUNI, NM 87327-0467

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2927
OK

Other

Enumeration date
07/19/2017
Last updated
08/10/2018
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