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1023379807
WADE MCFADDEN
BENTONVILLE, AR
NPI
1023379807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2630)
Enumeration Date
2012-06-07
Last Update Date
2012-06-07
Business Address
WADE MCFADDEN
224 S MAIN ST
BENTONVILLE, AR 72712-5963
Phone number: 479-273-3373
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Mailing Address
WADE MCFADDEN
3705 SW GIBSON AVE
BENTONVILLE, AR 72712-5286
Phone number:
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