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1033936109
JAMES ROBERT MEDLYN
VAN BUREN, AR
NPI
1033936109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA1787)
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
JAMES ROBERT MEDLYN PTA
117 NORTHRIDGE DR E STE C
VAN BUREN, AR 72956-5183
Phone number: 479-474-4892
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Mailing Address
JAMES ROBERT MEDLYN PTA
3302 S 97TH ST
FORT SMITH, AR 72903-5712
Phone number: 479-459-7077
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