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1386822310
RENEE MANSFIELD FAULCONER
TYLER, TX
NPI
1386822310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 4997-TG)
Enumeration Date
2008-01-31
Last Update Date
2008-01-31
Business Address
-- RENEE MANSFIELD FAULCONER O.D.
4824 S BROADWAY AVE
TYLER, TX 75703-1312
Phone number: 903-581-2020
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Mailing Address
-- RENEE MANSFIELD FAULCONER O.D.
2800 WOODLAKE DR
TYLER, TX 75701-6968
Phone number: 903-595-8977
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