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1386860831
ROGER LEE BROOMFIELD
FORT SMITH, AR
NPI
1386860831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 1639)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Mr. ROGER LEE BROOMFIELD PT
11918 SPRINGRIDGE DR
FORT SMITH, AR 72916-8189
Phone number: 479-649-9558
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Mailing Address
Mr. ROGER LEE BROOMFIELD PT
11918 SPRINGRIDGE DR
FORT SMITH, AR 72916-8189
Phone number:
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