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1487351243
MIA MOON
SPRINGDALE, AR
NPI
1487351243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
MIA MOON
922 E EMMA AVE
SPRINGDALE, AR 72764-4503
Phone number: 479-770-0788
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Mailing Address
MIA MOON
4536 W HAVANA AVE
FAYETTEVILLE, AR 72704-4042
Phone number: 479-841-7018
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