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1356332415
LORA A MIZE
CONWAY, AR
NPI
1356332415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 2770)
Enumeration Date
2005-10-28
Last Update Date
2016-11-08
Business Address
-- LORA A MIZE DPT
701 REEDY RD
CONWAY, AR 72034-9383
Phone number: 870-612-4412
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Mailing Address
-- LORA A MIZE DPT
3300 RIVERMONT AVE OUTPATIENT THERAPY ADMINISTRATION
LYNCHBURG, VA 24503
Phone number: 434-200-5032
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