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1306146121
BALLANTYNE VISION CARE LLC
LA JUNTA, CO
NPI
1306146121
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Entity Type
Organization
Authorized Contact
JORDAN BALLANTYNE
Optometrist, Owner
719-383-0134
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CO 2799)
Enumeration Date
2010-10-26
Last Update Date
2016-10-10
Business Address
BALLANTYNE VISION CARE LLC
302 W 3RD ST
LA JUNTA, CO 81050-1430
Phone number: 719-383-0134
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Mailing Address
BALLANTYNE VISION CARE LLC
PO BOX 305
LA JUNTA, CO 81050-0305
Phone number: 719-383-0134
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