AMANDA SUSON BLAIR

MARSHALL, AR
NPI1295986388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: AR  PT 3102)
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
-- AMANDA SUSON BLAIR D.P.T,
1458 HENSLEY FARM RD
MARSHALL, AR 72650-8672
Phone number: 870-448-6232
Mailing Address
-- AMANDA SUSON BLAIR D.P.T,
1458 HENSLEY FARM RD
MARSHALL, AR 72650-8672
Phone number: 870-448-6232