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1417989047
MICHAEL DEREK LAW
RUDY, AR
NPI
1417989047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR1473)
Enumeration Date
2006-07-06
Last Update Date
2007-07-09
Business Address
-- MICHAEL DEREK LAW
3918 PECAN GROVE RD
RUDY, AR 72952-9026
Phone number: 479-632-6337
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Mailing Address
-- MICHAEL DEREK LAW
3014 W MAIN ST
CHARLESTON, AR 72933-9007
Phone number: 479-632-6337
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