SHANE BENNETT FONTENOT

JENNINGS, LA
NPI1164612529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: LA  1540)
Enumeration Date2007-07-31
Last Update Date2014-10-07
Business Address
Dr. SHANE BENNETT FONTENOT O.D.
1702 JOHNSON ST
JENNINGS, LA 70546-3624
Phone number: 337-824-1112
Mailing Address
Dr. SHANE BENNETT FONTENOT O.D.
1702 JOHNSON ST
JENNINGS, LA 70546-3624
Phone number: 337-824-1112
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