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1083770119
WALTER ERNEST BALFOUR
GALLUP, NM
NPI
1083770119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NM 240)
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
Dr. WALTER ERNEST BALFOUR O.D.
219 W COAL AVE
GALLUP, NM 87301-6305
Phone number: 505-863-6448
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Mailing Address
Dr. WALTER ERNEST BALFOUR O.D.
219 W COAL AVE
GALLUP, NM 87301-6305
Phone number: 505-863-6448
Copy
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