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1154605061
STEPHANIE RENEE' PRIVETT
JONESBORO, AR
NPI
1154605061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 1823)
Enumeration Date
2011-10-11
Last Update Date
2011-10-11
Business Address
Mrs. STEPHANIE RENEE' PRIVETT PTA
3114 FOX RD STE A
JONESBORO, AR 72404-9322
Phone number: 870-933-9294
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Mailing Address
Mrs. STEPHANIE RENEE' PRIVETT PTA
2301 SHEFFIELD DR
JONESBORO, AR 72401-8132
Phone number: 870-931-9357
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