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1669717211
NANCY ANN WALLACE
PARAGOULD, AR
NPI
1669717211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT1220)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
-- NANCY ANN WALLACE COTA
2909 FRIENDSHIP RD
PARAGOULD, AR 72450-7548
Phone number: 601-624-2618
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Mailing Address
-- NANCY ANN WALLACE COTA
2909 FRIENDSHIP RD
PARAGOULD, AR 72450-7548
Phone number: 601-624-2618
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