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1366114902
MARK WELEGALA
FAYETTEVILLE, AR
NPI
1366114902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2021029819)
Enumeration Date
2021-10-01
Last Update Date
2024-12-31
Business Address
MARK WELEGALA DPT
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-442-7473
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Mailing Address
MARK WELEGALA DPT
2398 E FERGUSON AVE
FAYETTEVILLE, AR 72703-4345
Phone number: 314-452-9334
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