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1447653092
DARIUS JAMAR HAGGANS
ROGERS, AR
NPI
1447653092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 2329)
Enumeration Date
2014-09-26
Last Update Date
2014-09-26
Business Address
DARIUS JAMAR HAGGANS PTA
3307 N DIXIELAND RD
ROGERS, AR 72756
Phone number: 479-986-5150
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Mailing Address
DARIUS JAMAR HAGGANS PTA
15 COUNTY ROAD 779
WYNNE, AR 72396-8153
Phone number:
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