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1679174015
FREDDY KEITH BALES
FORT WORTH, TX
NPI
1679174015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 28822)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
FREDDY KEITH BALES
4400 BRYANT IRVIN RD
FORT WORTH, TX 76132-1064
Phone number: 817-989-1931
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Mailing Address
FREDDY KEITH BALES
1120 MCCAMPBELL RD
MANSFIELD, TX 76063-5359
Phone number: 817-832-8145
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