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1558679761
JENNETTE LEE HILES
CALICO ROCK, AR
NPI
1558679761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA1513)
Enumeration Date
2010-09-22
Last Update Date
2023-11-02
Business Address
Mrs. JENNETTE LEE HILES LPTA
2161 AR 56 HWY
CALICO ROCK, AR 72519-7009
Phone number: 870-404-4329
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Mailing Address
Mrs. JENNETTE LEE HILES LPTA
265 COOK LANE
WIDEMAN, AR 72585-0265
Phone number: 870-404-4329
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