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1235813650
GAETAN BANAWOE
CHARLOTTE, NC
NPI
1235813650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NC 2775)
Additional Taxonomies
152W00000X Optometrist
(Licence: SC 2415)
Enumeration Date
2023-06-14
Last Update Date
2024-04-09
Business Address
GAETAN BANAWOE
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216-8930
Phone number: 704-598-2468
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Mailing Address
GAETAN BANAWOE
226 E 9TH ST UNIT 615
CHARLOTTE, NC 28202-3543
Phone number: 434-996-6124
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