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1013554963
TAYLOR VONGPHAKDY
FARMINGTON, AR
NPI
1013554963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1255)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
TAYLOR VONGPHAKDY COTA/L
128 SOUTHWINDS RD STE 7
FARMINGTON, AR 72730-8678
Phone number: 479-267-2777
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Mailing Address
TAYLOR VONGPHAKDY COTA/L
128 SOUTHWINDS RD STE 7
FARMINGTON, AR 72730-8678
Phone number:
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