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1154868313
CASEY VINCENT
RUSSELLVILLE, AR
NPI
1154868313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OTA927)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- CASEY VINCENT
1915 W MAIN ST
RUSSELLVILLE, AR 72801-2725
Phone number: 479-968-1198
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Mailing Address
-- CASEY VINCENT
500 E 3RD ST
RUSSELLVILLE, AR 72801-5204
Phone number: 479-968-1198
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