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Individual

GENNADIY DAMESHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
126 S MAIN ST, DE SOTO, MO 63020-2104
(636) 586-5406
Mailing address
126 S MAIN ST, DE SOTO, MO 63020-2104
(636) 586-5406

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.009981
IL
152W00000X
Optometrist
Primary
2006020342
MO

Other

Enumeration date
06/24/2007
Last updated
06/04/2009
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