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1114045887
CONNIE SORRELS
RUSSELLVILLE, AR
NPI
1114045887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 1470)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- CONNIE SORRELS
1301 RUSSELL ROAD
RUSSELLVILLE, AR 72801
Phone number: 479-967-2322
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Mailing Address
-- CONNIE SORRELS
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number:
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