JORDAN BRETT BALLANTYNE

LA JUNTA, CO
NPI1326352212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CO  2799)
Enumeration Date2010-08-03
Last Update Date2016-10-10
Business Address
Dr. JORDAN BRETT BALLANTYNE O.D.
302 W 3RD ST
LA JUNTA, CO 81050-1430
Phone number: 719-383-0134
Mailing Address
Dr. JORDAN BRETT BALLANTYNE O.D.
PO BOX 305
LA JUNTA, CO 81050-0305
Phone number: 719-383-0134
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