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1356678148
SHANNON S TRIPOD
PARAGOULD, AR
NPI
1356678148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR pta2203)
Enumeration Date
2009-11-16
Last Update Date
2009-11-16
Business Address
-- SHANNON S TRIPOD pta
401 S 33 1/2 ST
PARAGOULD, AR 72450-3958
Phone number: 870-450-0977
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Mailing Address
-- SHANNON S TRIPOD pta
401 S 33 1/2 ST
PARAGOULD, AR 72450-3958
Phone number: 870-450-0977
Copy
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