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1386004653
CHARLES SIBLEY
CONWAY, AR
NPI
1386004653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 3592)
Enumeration Date
2016-03-01
Last Update Date
2016-03-01
Business Address
-- CHARLES SIBLEY
550 CLUB LN
CONWAY, AR 72034-3681
Phone number: 205-259-3991
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Mailing Address
-- CHARLES SIBLEY
300 CHALICE DR
CONWAY, AR 72034-7825
Phone number: 205-259-3991
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