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1639575434
FONDA RENEE MITCHELL
EL DORADO, AR
NPI
1639575434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 2313)
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
-- FONDA RENEE MITCHELL PTA
208 LILAC DR
EL DORADO, AR 71730-8318
Phone number: 870-918-6675
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Mailing Address
-- FONDA RENEE MITCHELL PTA
208 LILAC DR
EL DORADO, AR 71730-8318
Phone number: 870-918-6675
Copy
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