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1790220903
RAYMOND BALES
KNOXVILLE, TN
NPI
1790220903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
(Licence: TN I000000019088)
Enumeration Date
2016-12-23
Last Update Date
2016-12-23
Business Address
-- RAYMOND BALES
304 WARDLEY RD
KNOXVILLE, TN 37934-1829
Phone number: 865-269-4483
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Mailing Address
-- RAYMOND BALES
304 WARDLEY RD
KNOXVILLE, TN 37934-1829
Phone number: 865-269-4483
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