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1316173735
MICHELLE DAWN DURHAM
PINE BLUFF, AR
NPI
1316173735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PTA 1459)
Enumeration Date
2009-06-01
Last Update Date
2009-06-01
Business Address
Ms. MICHELLE DAWN DURHAM LPTA
6400 TRINITY DR
PINE BLUFF, AR 71603-7802
Phone number: 870-879-0638
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Mailing Address
Ms. MICHELLE DAWN DURHAM LPTA
302 BARNEY CV
WHITE HALL, AR 71602-3689
Phone number: 870-879-0638
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