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1093534133
LEWIS TYLER HARRELL
TRUMANN, AR
NPI
1093534133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1704)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
LEWIS TYLER HARRELL
MIRACLE KIDS SUCCESS ACADMEY 1005 BALCOM LANE
TRUMANN, AR 72472
Phone number: 870-418-1000
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Mailing Address
LEWIS TYLER HARRELL
MIRACLE KIDS SUCCESS ACADEMY 3127 SOUTHWEST DR
JONESBORO, AR 72404
Phone number:
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