GAETAN BANAWOE

CHARLOTTE, NC
NPI1235813650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NC  2775)
Additional Taxonomies152W00000X Optometrist
(Licence: SC  2415)
Enumeration Date2023-06-14
Last Update Date2024-04-09
Business Address
GAETAN BANAWOE
9841 NORTHLAKE CENTRE PKWY
CHARLOTTE, NC 28216-8930
Phone number: 704-598-2468
Mailing Address
GAETAN BANAWOE
226 E 9TH ST UNIT 615
CHARLOTTE, NC 28202-3543
Phone number: 434-996-6124
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