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1356859003
ABIGAIL JORDAN WHATLEY
RUSSELLVILLE, AR
NPI
1356859003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1321)
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
ABIGAIL JORDAN WHATLEY COTA
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
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Mailing Address
ABIGAIL JORDAN WHATLEY COTA
2740 COLLEGE AVE
CONWAY, AR 72034-6141
Phone number: 501-329-5459
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