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1033680590
BROOKS L WHITE
FAYETTEVILLE, AR
NPI
1033680590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA3945)
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
BROOKS L WHITE PTA
4155 N STEELE BLVD STE 80
FAYETTEVILLE, AR 72703-5394
Phone number: 479-422-9404
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Mailing Address
BROOKS L WHITE PTA
4155 N STEELE BLVD STE 80
FAYETTEVILLE, AR 72703-5394
Phone number: 479-422-9404
Copy
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