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1063825339
BRYCE KEITH DECKER
POCAHONTAS, AR
NPI
1063825339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A865)
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
Mr. BRYCE KEITH DECKER COTA/L
1804 OLD COUNTY RD
POCAHONTAS, AR 72455-4134
Phone number: 870-378-7194
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Mailing Address
Mr. BRYCE KEITH DECKER COTA/L
1804 OLD COUNTY RD
POCAHONTAS, AR 72455-4134
Phone number: 870-378-7194
Copy
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