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1174119481
HAILEY DESIREE GAMMEL
MONTICELLO, AR
NPI
1174119481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA3817)
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
HAILEY DESIREE GAMMEL
168 W COLLEGE AVE
MONTICELLO, AR 71655-4820
Phone number: 870-367-6825
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Mailing Address
HAILEY DESIREE GAMMEL
3140 HIGHWAY 278 W
WILMAR, AR 71675-8040
Phone number: 870-687-1292
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