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1073958708
DONNA ANN LONG
WYNNE, AR
NPI
1073958708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR O-T1308)
Enumeration Date
2013-05-08
Last Update Date
2013-05-08
Business Address
-- DONNA ANN LONG OTA
913 LEVESQUE AVE E
WYNNE, AR 72396-3018
Phone number: 870-945-1718
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Mailing Address
-- DONNA ANN LONG OTA
913 LEVESQUE AVE E
WYNNE, AR 72396-3018
Phone number: 870-945-1718
Copy
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