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1528210465
WAYLON B MARTIN
LOWELL, AR
NPI
1528210465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
-- WAYLON B MARTIN
519 LATHAM DR
LOWELL, AR 72745-8360
Phone number: 479-750-0130
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Mailing Address
-- WAYLON B MARTIN
800 MARSHALL ST SLOT 900
LITTLE ROCK, AR 72202-3510
Phone number: 501-364-3620
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