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1407842529
JERRY ALLAN LANTZ
PARKERSBURG, WV
NPI
1407842529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 779-D)
Enumeration Date
2005-09-23
Last Update Date
2022-02-14
Business Address
JERRY ALLAN LANTZ O.D.
2014 DUDLEY AVE
PARKERSBURG, WV 26101-3405
Phone number: 304-422-1841
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Mailing Address
JERRY ALLAN LANTZ O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number:
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