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1114291838
JUSTIN DAVID WALDORF
FAYETTEVILLE, AR
NPI
1114291838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT4423)
Enumeration Date
2012-02-27
Last Update Date
2024-08-19
Business Address
Dr. JUSTIN DAVID WALDORF DPT
3344 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-582-7213
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Mailing Address
Dr. JUSTIN DAVID WALDORF DPT
PO BOX 1523
FAYETTEVILLE, AR 72702-1523
Phone number: 479-571-6038
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