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1518333988
GARY WIDNER
FORT SMITH, AR
NPI
1518333988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT1725)
Enumeration Date
2015-08-19
Last Update Date
2015-09-01
Business Address
-- GARY WIDNER
6801 ROGERS AVE
FORT SMITH, AR 72903-4067
Phone number: 479-274-5300
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Mailing Address
-- GARY WIDNER
PO BOX 3528
FORT SMITH, AR 72913-3528
Phone number: 479-274-2000
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