LIBERTY B WETHINGTON

FORT WORTH, TX
NPI1366675761
Former NameLIBERTY B RUSSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  1215)
Enumeration Date2009-09-01
Last Update Date2012-05-10
Business Address
-- LIBERTY B WETHINGTON CP
1401 W MAGNOLIA AVE
FORT WORTH, TX 76104-4250
Phone number: 817-923-2101
Mailing Address
-- LIBERTY B WETHINGTON CP
1401 W MAGNOLIA AVE
FORT WORTH, TX 76104-4250
Phone number: 817-923-2101
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