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1235967597
DANITA PUCKETT
BATESVILLE, AR
NPI
1235967597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4944)
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
Mrs. DANITA PUCKETT PTA
15 MOUNT ZION LN
BATESVILLE, AR 72501-7026
Phone number: 870-307-3624
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Mailing Address
Mrs. DANITA PUCKETT PTA
122 MOCKINGBIRD ST
BATESVILLE, AR 72501-6603
Phone number: 870-612-7601
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