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1336110998
SCOTT SULLIVAN IRONSIDE
BENTONVILLE, AR
NPI
1336110998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT588)
Enumeration Date
2006-01-31
Last Update Date
2008-03-06
Business Address
Mr. SCOTT SULLIVAN IRONSIDE PT
908 NW 8TH ST
BENTONVILLE, AR 72712
Phone number: 479-273-1141
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Mailing Address
Mr. SCOTT SULLIVAN IRONSIDE PT
908 NW 8TH ST
BENTONVILLE, AR 72712
Phone number: 479-273-1141
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