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1649621012
NATHAN TIARKS
APO, AP
NPI
1649621012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT4076)
Enumeration Date
2016-06-28
Last Update Date
2023-11-07
Business Address
NATHAN TIARKS PT
51ST MEDICAL GROUP UNIT 2060
APO, AP 96278-2060
Phone number: 505-784-2157
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Mailing Address
NATHAN TIARKS PT
PO BOX 9178
RUSSELLVILLE, AR 72811-9178
Phone number: 479-498-6700
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