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1134644289
AMANDA NICOLE CORDELL
BRYANT, AR
NPI
1134644289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1257)
Enumeration Date
2017-08-10
Last Update Date
2017-08-10
Business Address
AMANDA NICOLE CORDELL COTA
200 NW 4TH ST
BRYANT, AR 72022-3424
Phone number: 501-847-5660
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Mailing Address
AMANDA NICOLE CORDELL COTA
9778 SPRINGHILL FARMS DR
ALEXANDER, AR 72002-8998
Phone number: 501-588-7674
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