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1114294949
MARY ALEXANDER WYATT
LITTLE ROCK, AR
NPI
1114294949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR 010702100)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
Ms. MARY ALEXANDER WYATT A.T,C
600 S MCKINLEY ST
LITTLE ROCK, AR 72205-5202
Phone number: 501-804-5102
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Mailing Address
Ms. MARY ALEXANDER WYATT A.T,C
1708 N JACKSON ST
LITTLE ROCK, AR 72207-5448
Phone number: 501-940-8147
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