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1396380473
OLIVIA LACE
JONESBORO, AR
NPI
1396380473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4496)
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
Mrs. OLIVIA LACE PTA
3114 FOX RD
JONESBORO, AR 72404-9322
Phone number: 870-933-9294
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Mailing Address
Mrs. OLIVIA LACE PTA
96 COUNTY ROAD 4254
JONESBORO, AR 72404-0599
Phone number: 901-486-3288
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