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1578031282
JUSTIN DWAYNE KENNEMER
CONWAY, AR
NPI
1578031282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AR OTR2937)
Enumeration Date
2018-11-12
Last Update Date
2022-01-03
Business Address
Mr. JUSTIN DWAYNE KENNEMER OTR/L
385 HIGHWAY 65 N
CONWAY, AR 72032-3506
Phone number: 501-697-9881
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Mailing Address
Mr. JUSTIN DWAYNE KENNEMER OTR/L
331 S BOLDEN HILL RD
GREENBRIER, AR 72058-9024
Phone number: 817-688-5865
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