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1013492230
ELLISSA LAUREN MASON
SPRINGFIELD, TN
NPI
1013492230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4350)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
Ms. ELLISSA LAUREN MASON PTA
3131 TOM AUSTIN HWY
SPRINGFIELD, TN 37172-4801
Phone number: 615-382-7979
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Mailing Address
Ms. ELLISSA LAUREN MASON PTA
133 HIGHWAY 321
BEEBE, AR 72012-9726
Phone number: 501-203-7966
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