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1477612224
BRIAN PAUL LILES
TEXARKANA, AR
NPI
1477612224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR otr1624)
Enumeration Date
2006-12-07
Last Update Date
2007-07-09
Business Address
Mr. BRIAN PAUL LILES OTR
1417 ROLLING RIDGE CIR
TEXARKANA, AR 71854-9036
Phone number: 903-276-6012
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Mailing Address
Mr. BRIAN PAUL LILES OTR
1417 ROLLING RIDGE CIR
TEXARKANA, AR 71854-9036
Phone number:
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