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1174850457
LARTRESS ALBERT TANNER
FORT WORTH, TX
NPI
1174850457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 26782)
Enumeration Date
2009-11-07
Last Update Date
2009-11-07
Business Address
Mr. LARTRESS ALBERT TANNER
4921 BRYANT IRVIN RD
FORT WORTH, TX 76132-3617
Phone number: 817-292-5806
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Mailing Address
Mr. LARTRESS ALBERT TANNER
4921 BRYANT IRVIN RD
FORT WORTH, TX 76132-3617
Phone number: 817-292-5806
Copy
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