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1316257249
ALEXIS BOSTER
WARD, AR
NPI
1316257249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2432)
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
-- ALEXIS BOSTER
1500 WILSON LOOP
WARD, AR 72176
Phone number: 501-941-5630
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Mailing Address
-- ALEXIS BOSTER
4847 PARKS RD
VAN BUREN, AR 72956-8625
Phone number: 501-941-5630
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