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1114173960
RUSTI L WILBANKS
RUSSELLVILLE, AR
NPI
1114173960
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Former Name
RUSTI L MAHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT1597)
Enumeration Date
2008-08-12
Last Update Date
2022-04-20
Business Address
Ms. RUSTI L WILBANKS RPT
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802-9646
Phone number: 479-968-7118
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Mailing Address
Ms. RUSTI L WILBANKS RPT
PO BOX 2109
RUSSELLVILLE, AR 72811-2109
Phone number: 479-967-2322
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