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1275259970
BAILEY GRACE LATCHAW
MOUNTAIN HOME, AR
NPI
1275259970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1886)
Enumeration Date
2022-10-13
Last Update Date
2023-07-14
Business Address
BAILEY GRACE LATCHAW COTA/L
707 N CARDINAL DR STE 4
MOUNTAIN HOME, AR 72653-3274
Phone number: 870-404-0270
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Mailing Address
BAILEY GRACE LATCHAW COTA/L
109 RYAN RD APT 3
COTTER, AR 72626-9208
Phone number: 501-859-4093
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