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1578773123
TARA MICHELE GOODSON
MELBOURNE, AR
NPI
1578773123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2003)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mrs. TARA MICHELE GOODSON LPTA
1114 E MAIN ST
MELBOURNE, AR 72556
Phone number: 870-368-4377
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Mailing Address
Mrs. TARA MICHELE GOODSON LPTA
1415 N CHARLOTTE RD
SULPHUR ROCK, AR 72579-9789
Phone number: 870-612-0065
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