EDWARD CLARK SHORT

RUSSELLVILLE, AR
NPI1346519428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT2693)
Enumeration Date2011-12-20
Last Update Date2012-05-16
Business Address
-- EDWARD CLARK SHORT PT
3016 W MAIN ST RUSSELLVILLE
RUSSELLVILLE, AR 72801-2453
Phone number: 479-967-9657
Mailing Address
-- EDWARD CLARK SHORT PT
3016 W MAIN ST RUSSELLVILLE
RUSSELLVILLE, AR 72801-2453
Phone number: 479-967-9657
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