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1154519684
DONALD EUGENE LITCHFORD
FAYETTEVILLE, AR
NPI
1154519684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2219)
Enumeration Date
2007-10-10
Last Update Date
2008-01-11
Business Address
Mr. DONALD EUGENE LITCHFORD LPTA
3419 N PLAINVIEW AVE
FAYETTEVILLE, AR 72703-4065
Phone number: 479-521-4001
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Mailing Address
Mr. DONALD EUGENE LITCHFORD LPTA
PO BOX 8475
FAYETTEVILLE, AR 72703-0008
Phone number: 479-252-0084
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