Nicole Lee Gates

NPI #1073251708 in Logan, Ohio

Provider Information

NPI Number: 1073251708
Entity Type: Individual
Name: Nicole Lee Gates
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 30652 RED ROCK CT
City: Logan
State: Ohio
ZIP Code: 43138-9670
Phone: (740) 385-4006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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