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1336331701
NANCY DENISE DRACE
WYNNE, AR
NPI
1336331701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 1806)
Enumeration Date
2007-08-09
Last Update Date
2007-08-09
Business Address
-- NANCY DENISE DRACE PTA
661 HIGHWAY 64B
WYNNE, AR 72396-8506
Phone number: 870-208-9572
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Mailing Address
-- NANCY DENISE DRACE PTA
5 CYPRESS CRK
MARION, AR 72364-9747
Phone number: 901-496-3189
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