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1013674803
SAMANTHA BROOKE GIPSON
JONESBORO, AR
NPI
1013674803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OTA1783)
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
SAMANTHA BROOKE GIPSON
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-0090
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Mailing Address
SAMANTHA BROOKE GIPSON
3146 HIGHWAY 148
MONETTE, AR 72447-9118
Phone number: 870-530-6246
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