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1144760901
TALLI VANCE
MOUNTAIN HOME, AR
NPI
1144760901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR2393)
Enumeration Date
2017-02-27
Last Update Date
2017-02-27
Business Address
-- TALLI VANCE MOTR/L
860 HIGHWAY 62 E STE 10
MOUNTAIN HOME, AR 72653-3200
Phone number: 870-424-2224
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Mailing Address
-- TALLI VANCE MOTR/L
91 LONE TREE DR
LAKEVIEW, AR 72642-7130
Phone number: 870-424-2224
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