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1609949395
DONNA CARLENE DEVAZIER
WEST MEMPHIS, AR
NPI
1609949395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 1715)
Enumeration Date
2006-11-17
Last Update Date
2007-07-09
Business Address
-- DONNA CARLENE DEVAZIER PTA
620 THOMPSON AVE
WEST MEMPHIS, AR 72301-3257
Phone number: 870-702-4911
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Mailing Address
-- DONNA CARLENE DEVAZIER PTA
1504 CHESTNUT ST
FORREST CITY, AR 72335-1916
Phone number: 870-633-5288
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