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1205460532
JAMIE CHARLEVILLE
BRYANT, AR
NPI
1205460532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4511)
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
JAMIE CHARLEVILLE PTA
2700 N PRICKETT RD STE 2
BRYANT, AR 72022-7511
Phone number: 501-213-0594
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Mailing Address
JAMIE CHARLEVILLE PTA
2700 N PRICKETT RD STE 2
BRYANT, AR 72022-7511
Phone number: 501-213-0594
Copy
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