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1518342070
KELSEY WILSON
BENTON, AR
NPI
1518342070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A990)
Enumeration Date
2015-07-27
Last Update Date
2015-07-27
Business Address
-- KELSEY WILSON
17706 I 30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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Mailing Address
-- KELSEY WILSON
17706 I 30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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