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1619661444
BANESSA CALDERON
FORT SMITH, AR
NPI
1619661444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4830)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
BANESSA CALDERON LPTA
1821 PHOENIX AVE STE A
FORT SMITH, AR 72901-7939
Phone number: 501-772-1461
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Mailing Address
BANESSA CALDERON LPTA
1821 PHOENIX AVE STE A
FORT SMITH, AR 72901-7939
Phone number: 501-772-1461
Copy
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