JUSTIN BUCCILLE

SILOAM SPRINGS, AR
NPI1134421720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2010-12-02
Last Update Date2013-04-02
Business Address
-- JUSTIN BUCCILLE
918 S MOUNT OLIVE ST
SILOAM SPRINGS, AR 72761-4220
Phone number: 479-967-2322
Mailing Address
-- JUSTIN BUCCILLE
PO DRAWER 2109
RUSSELLIVLLE, AR 72811
Phone number: 479-967-2322
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