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1114203361
LAURIE ANN BLASINGAME
FAYETTEVILLE, AR
NPI
1114203361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT3391)
Enumeration Date
2011-11-01
Last Update Date
2015-12-03
Business Address
-- LAURIE ANN BLASINGAME D.P.T
12 E APPLEBY RD STE 104
FAYETTEVILLE, AR 72703-3901
Phone number: 479-463-6824
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Mailing Address
-- LAURIE ANN BLASINGAME D.P.T
12 E APPLEBY RD STE 104
FAYETTEVILLE, AR 72703-3901
Phone number: 479-463-6824
Copy
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