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1356432439
CAROLYN A MOODY
JONESBORO, AR
NPI
1356432439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: AR PT 819)
Enumeration Date
2006-09-27
Last Update Date
2007-07-09
Business Address
-- CAROLYN A MOODY PT
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-5551
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Mailing Address
-- CAROLYN A MOODY PT
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-5551
Copy
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