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1295190668
MICAH KNIGHT
JONESBORO, AR
NPI
1295190668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT2015-044)
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- MICAH KNIGHT OT-A
1801 GRANT AVE
JONESBORO, AR 72401-6155
Phone number: 870-974-9114
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Mailing Address
-- MICAH KNIGHT OT-A
1801 GRANT AVE
JONESBORO, AR 72401-6155
Phone number: 870-974-9114
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