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1235142258
TOM G BAXLEY
PINE BLUFF, AR
NPI
1235142258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- TOM G BAXLEY
3071 W 28TH AVE
PINE BLUFF, AR 71603-4802
Phone number: 870-534-4414
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Mailing Address
-- TOM G BAXLEY
30 CONCORD DR
WHITE HALL, AR 71602-2834
Phone number: 870-267-1426
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