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1154517761
JACK WAYNE ROUNTREE
SAN ANTONIO, TX
NPI
1154517761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 7076TG)
Enumeration Date
2007-09-18
Last Update Date
2021-04-30
Business Address
JACK WAYNE ROUNTREE OD
5025 NW LOOP 410
SAN ANTONIO, TX 78229-5313
Phone number: 210-520-0051
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Mailing Address
JACK WAYNE ROUNTREE OD
10792 OAKLAND RD
SAN ANTONIO, TX 78240-2025
Phone number: 210-520-0051
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