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1508231168
JOHN COLVIN
ASH FLAT, AR
NPI
1508231168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 2746)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
MR. JOHN COLVIN PTA
75 HIGHWAY 62 412 STE A
ASH FLAT, AR 72513-9629
Phone number: 870-994-7778
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Mailing Address
MR. JOHN COLVIN PTA
408 SIMSTOWN RD
EVENING SHADE, AR 72532-9458
Phone number: 870-994-7778
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