GREGORY DEATHERAGE

Optician

NPI: 1457544181Individual

Specialties, Licenses & Credentials

OpticianPrimary

Technician/Technologist — Optician

Code: 156FX1800X

Contact & Hours

Address: 2916 GARNETT AVE
WICHITA FALLS, TX 76308
Phone: (940) 723-7241

Quick Facts

NPI: 1457544181
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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