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1396063152
MARY RICHESIN
WARREN, AR
NPI
1396063152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 1829)
Enumeration Date
2010-05-04
Last Update Date
2010-05-04
Business Address
-- MARY RICHESIN PTA
206 BRAGG ST
WARREN, AR 71671-2500
Phone number: 870-226-7844
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Mailing Address
-- MARY RICHESIN PTA
1 CHILDRENS WAY
LITTLE ROCK, AR 72202-3500
Phone number:
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