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1558096966
KASEY MICHELLE BRYAN
HAMBURG, AR
NPI
1558096966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1707)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
KASEY MICHELLE BRYAN COTA/L
1036 S MAIN ST
HAMBURG, AR 71646-8980
Phone number: 870-853-0857
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Mailing Address
KASEY MICHELLE BRYAN COTA/L
1320 HIGHWAY 133 N
CROSSETT, AR 71635-4857
Phone number: 870-415-9137
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