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1144280546
ANN BALLWEG FONTENOT
MANSFIELD, TX
NPI
1144280546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 06298TG)
Enumeration Date
2006-03-28
Last Update Date
2020-05-04
Business Address
Dr. ANN BALLWEG FONTENOT O.D.
2925 E BROAD ST
MANSFIELD, TX 76063-9184
Phone number: 817-477-0223
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Mailing Address
Dr. ANN BALLWEG FONTENOT O.D.
6520 JOSEPHINE DR
ARLINGTON, TX 76017-4979
Phone number: 817-563-0022
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