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1164875761
GORDON LAW
BOONEVILLE, AR
NPI
1164875761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4077)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- GORDON LAW
386 W 7TH ST
BOONEVILLE, AR 72927-3143
Phone number: 479-965-6752
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Mailing Address
-- GORDON LAW
PO BOX 871
CHARLESTON, AR 72933-0871
Phone number:
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