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1508471004
STORMY SHANKLE
JONESBORO, AR
NPI
1508471004
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Former Name
STORMY ROBERTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4552)
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
STORMY SHANKLE
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-0090
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Mailing Address
STORMY SHANKLE
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-0090
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