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1386142982
HAZEL LEANN GOINES
VAN BUREN, AR
NPI
1386142982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 1275)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
HAZEL LEANN GOINES
2502 FAYETTEVILLE RD
VAN BUREN, AR 72956-6073
Phone number: 479-410-1900
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Mailing Address
HAZEL LEANN GOINES
2502 FAYETTEVILLE RD
VAN BUREN, AR 72956-6073
Phone number: 479-410-1900
Copy
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