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1356727671
ETHAN BAKER
FAYETTEVILLE, AR
NPI
1356727671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A994)
Enumeration Date
2015-08-10
Last Update Date
2015-08-10
Business Address
-- ETHAN BAKER
3801 JOHNSON MILL BLVD
FAYETTEVILLE, AR 72704-5297
Phone number: 479-856-6400
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Mailing Address
-- ETHAN BAKER
3801 JOHNSON MILL BLVD
FAYETTEVILLE, AR 72704-5297
Phone number: 479-856-6400
Copy
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