JERRY SANDOVAL

ALBUQUERQUE, NM
NPI1659436061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NM  362)
Enumeration Date2006-12-26
Last Update Date2007-07-08
Business Address
-- JERRY SANDOVAL OD
4910 CUTLER AVE NE STE B
ALBUQUERQUE, NM 87110-4044
Phone number: 505-888-5111
Mailing Address
-- JERRY SANDOVAL OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6663
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