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1518481308
TYLER LEIGH MAYNARD
BRYANT, AR
NPI
1518481308
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Former Name
TYLER SHUMARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4232)
Enumeration Date
2017-08-02
Last Update Date
2023-01-09
Business Address
TYLER LEIGH MAYNARD
908 N REYNOLDS RD
BRYANT, AR 72022-3034
Phone number: 501-847-9711
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Mailing Address
TYLER LEIGH MAYNARD
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322
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