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1598931362
VERA MICHELLE DURHAM
ASH FLAT, AR
NPI
1598931362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA1469)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
VERA MICHELLE DURHAM PTA
120 NIX RIDGE RD
ASH FLAT, AR 72513-9017
Phone number: 870-528-3097
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Mailing Address
VERA MICHELLE DURHAM PTA
PO BOX 50
SAFFELL, AR 72572-0050
Phone number: 870-528-3097
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