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1649888751
WILLIE EUGENE MCMAHAN
WYNNE, AR
NPI
1649888751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2756)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
Mr. WILLIE EUGENE MCMAHAN PTA
1871 FALLS BLVD N
WYNNE, AR 72396-4026
Phone number: 870-261-8910
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Mailing Address
Mr. WILLIE EUGENE MCMAHAN PTA
2010 SFC 858
PALESTINE, AR 72372-8431
Phone number: 870-261-8910
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