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1306244470
TEDDY BLODGETT
TYLER, TX
NPI
1306244470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: TX 26-3003000)
Enumeration Date
2014-12-05
Last Update Date
2014-12-05
Business Address
-- TEDDY BLODGETT
7761 FM 14 TRLR 60
TYLER, TX 75706-7854
Phone number: 903-216-5427
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Mailing Address
-- TEDDY BLODGETT
7761 FM 14 TRLR 60
TYLER, TX 75706-7854
Phone number: 903-216-5427
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