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1184107419
ANGELA DIANNE HUMPHRIES
CAMDEN, AR
NPI
1184107419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA3815)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
ANGELA DIANNE HUMPHRIES
638 CALIFORNIA AVE SW
CAMDEN, AR 71701-4604
Phone number: 870-836-1346
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Mailing Address
ANGELA DIANNE HUMPHRIES
6333 HIGHWAY 205
BEARDEN, AR 71720-8004
Phone number: 870-818-7665
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