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1568770386
DAVID WAYNE BISE
BENTON, AR
NPI
1568770386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR O-T1031)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
-- DAVID WAYNE BISE MS, OTR/L
17706 I-30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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Mailing Address
-- DAVID WAYNE BISE MS, OTR/L
17706 I-30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
Copy
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