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1104121086
KENNETH D BALLARD
ARLINGTON, TX
NPI
1104121086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT105979)
Enumeration Date
2011-01-24
Last Update Date
2011-01-24
Business Address
-- KENNETH D BALLARD LMT
2518 PLAZA ST
ARLINGTON, TX 76010-3217
Phone number: 817-323-0959
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Mailing Address
-- KENNETH D BALLARD LMT
2518 PLAZA ST
ARLINGTON, TX 76010-3217
Phone number: 817-323-0959
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