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Individual

JOSEPH SANSANELLI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4821 BRYANT IRVIN RD, FORT WORTH, TX 76132-3615
(817) 346-1677
Mailing address
2135 STANLEY AVE, FORT WORTH, TX 76110-1837
(732) 223-3377

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4903
NJ
152W00000X
Optometrist
Primary
6850T
TX

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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