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1164417556
GERALD J GALLENTINE
TAMPA, FL
NPI
1164417556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OP1270)
Enumeration Date
2005-09-13
Last Update Date
2007-07-08
Business Address
-- GERALD J GALLENTINE OD
3338 S DALE MABRY HWY
TAMPA, FL 33629-7840
Phone number: 813-839-5399
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Mailing Address
-- GERALD J GALLENTINE OD
5125 N RIVER BLVD
TAMPA, FL 33603-1941
Phone number: 813-237-4906
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