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1538651393
TRAVIS RYAN STAFFORD
FAYETTEVILLE, AR
NPI
1538651393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT5292)
Enumeration Date
2018-06-06
Last Update Date
2024-12-31
Business Address
TRAVIS RYAN STAFFORD DPT
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-442-7473
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Mailing Address
TRAVIS RYAN STAFFORD DPT
4443 W MOUNT COMFORT RD
FAYETTEVILLE, AR 72704-5970
Phone number:
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