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1619386786
BETHANY LYNN BLAKE
LITTLE ROCK, AR
NPI
1619386786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT 3868)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- BETHANY LYNN BLAKE DPT
10014 N RODNEY PARHAM RD SUITE 103
LITTLE ROCK, AR 72227-5598
Phone number: 501-224-5454
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Mailing Address
-- BETHANY LYNN BLAKE DPT
10014 N RODNEY PARHAM RD SUITE 103
LITTLE ROCK, AR 72227-5598
Phone number: 501-224-5454
Copy
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