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1871242362
ERIC RAYMOND BALES
FORT KNOX, KY
NPI
1871242362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003298)
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
ERIC RAYMOND BALES ATC
175 N TORNADO DIVISION RD BLDG 2866
FORT KNOX, KY 40121-4218
Phone number: 502-624-1208
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Mailing Address
ERIC RAYMOND BALES ATC
102 FEDERAL PL
BARDSTOWN, KY 40004-2046
Phone number: 765-490-8144
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