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1013223957
BRUCE BRIAN
CLARKSVILLE, AR
NPI
1013223957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2204)
Enumeration Date
2010-08-30
Last Update Date
2011-12-14
Business Address
-- BRUCE BRIAN PTA
3 WAGNER ST
CLARKSVILLE, AR 72830-2019
Phone number: 479-746-1346
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Mailing Address
-- BRUCE BRIAN PTA
3 WAGNER ST
CLARKSVILLE, AR 72830-2019
Phone number: 479-746-1346
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