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1124512041
DOMINIQUE GILES
HOT SPRINGS, AR
NPI
1124512041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2766)
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
DOMINIQUE GILES PTA
114 WINDCREST CIR
HOT SPRINGS, AR 71913-6080
Phone number: 573-429-9603
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Mailing Address
DOMINIQUE GILES PTA
114 WINDCREST CIR
HOT SPRINGS, AR 71913-6080
Phone number: 573-429-9603
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