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1396116448
BRAD HESGARD
WEST FORK, AR
NPI
1396116448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A241)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
-- BRAD HESGARD OTA/L
224 DOKE ST
WEST FORK, AR 72774-3114
Phone number: 479-445-2490
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Mailing Address
-- BRAD HESGARD OTA/L
1923 E JOYCE BLVD
FAYETTEVILLE, AR 72703-5293
Phone number:
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