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1104250687
TRACY DANIEL
MONTICELLO, AR
NPI
1104250687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2714)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
TRACY DANIEL PTA
1200 OLD WARREN RD
MONTICELLO, AR 71655-9723
Phone number: 870-367-1548
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Mailing Address
TRACY DANIEL PTA
1200 OLD WARREN RD
MONTICELLO, AR 71655-9723
Phone number:
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