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1205384203
MANDA JEWELL
MENA, AR
NPI
1205384203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4139)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- MANDA JEWELL
2511 SUTHERLAND AVE
MENA, AR 71953-2753
Phone number: 501-470-3500
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Mailing Address
-- MANDA JEWELL
2511 SUTHERLAND AVE
MENA, AR 71953-2753
Phone number:
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