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1255880019
HALEY MICHELLE EDWARDS
DOVER, AR
NPI
1255880019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4068)
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
Mrs. HALEY MICHELLE EDWARDS PTA
4340 SR 164 W
DOVER, AR 72837-8371
Phone number: 479-970-9751
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Mailing Address
Mrs. HALEY MICHELLE EDWARDS PTA
4340 SR 164 W
DOVER, AR 72837-8371
Phone number: 479-970-9751
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