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1679941959
STACY WATTS
VAN BUREN, AR
NPI
1679941959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1004)
Enumeration Date
2015-09-03
Last Update Date
2015-09-03
Business Address
-- STACY WATTS
115 POINTER TRL W
VAN BUREN, AR 72956-2236
Phone number: 479-471-1290
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Mailing Address
-- STACY WATTS
115 POINTER TRL W
VAN BUREN, AR 72956-2236
Phone number: 479-471-1290
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