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1184778102
JANISE RASBERRY
WYNNE, AR
NPI
1184778102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 1233)
Enumeration Date
2007-01-23
Last Update Date
2007-07-09
Business Address
Ms. JANISE RASBERRY PTA
400 ARKANSAS AVE E
WYNNE, AR 72396-3407
Phone number: 870-238-7941
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Mailing Address
Ms. JANISE RASBERRY PTA
707 ELDRIDGE AVE E
WYNNE, AR 72396-4032
Phone number: 870-208-8989
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