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1023719929
ALEXANDRA BANNISTER
NORTH LITTLE ROCK, AR
NPI
1023719929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1912)
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
ALEXANDRA BANNISTER COTA/L
304 SORENSON ST
NORTH LITTLE ROCK, AR 72118-3473
Phone number: 501-246-5191
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Mailing Address
ALEXANDRA BANNISTER COTA/L
304 SORENSON ST
NORTH LITTLE ROCK, AR 72118-3473
Phone number: 501-246-5191
Copy
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