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1013050319
JANICE KAY FAULKNER
FORT WORTH, TX
NPI
1013050319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: TX DR3962)
Enumeration Date
2007-02-15
Last Update Date
2008-07-01
Business Address
Mrs. JANICE KAY FAULKNER Optician Owner
1223 5TH AVE
FORT WORTH, TX 76104
Phone number: 817-870-1291
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Mailing Address
Mrs. JANICE KAY FAULKNER Optician Owner
1223 5TH AVE
FORT WORTH, TX 76104
Phone number: 817-870-1291
Copy
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