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1558729061
CHARLES CARTER
WYNNE, AR
NPI
1558729061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 1849)
Enumeration Date
2016-01-29
Last Update Date
2016-01-29
Business Address
-- CHARLES CARTER PTA
319 MARTIN DR W
WYNNE, AR 72396-3446
Phone number: 870-589-3748
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Mailing Address
-- CHARLES CARTER PTA
319 MARTIN DR W
WYNNE, AR 72396-3446
Phone number:
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