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1003950304
MISTY MILAM KENNEDY
MARION, AR
NPI
1003950304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR1443)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Mrs. MISTY MILAM KENNEDY OTR
133 MILITARY RD
MARION, AR 72364-1755
Phone number: 870-739-5111
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Mailing Address
Mrs. MISTY MILAM KENNEDY OTR
524 EVELYN RD
MARION, AR 72364-3046
Phone number: 870-739-0040
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