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1588343941
KENNEDY LAKE COOPER
MELBOURNE, AR
NPI
1588343941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4841)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
KENNEDY LAKE COOPER PTA
31 SCHOOL DR
MELBOURNE, AR 72556-8620
Phone number: 870-916-2269
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Mailing Address
KENNEDY LAKE COOPER PTA
31 SCHOOL DR
MELBOURNE, AR 72556-8620
Phone number: 870-916-2269
Copy
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