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1689414906
MAYA TALISE WILSON BATES
FAYETTEVILLE, AR
NPI
1689414906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 5456)
Enumeration Date
2024-05-27
Last Update Date
2024-06-14
Business Address
MAYA TALISE WILSON BATES PT, DPT
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR 72703-4796
Phone number: 479-442-7473
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Mailing Address
MAYA TALISE WILSON BATES PT, DPT
1022 S BEEBALM AVE
FAYETTEVILLE, AR 72701-5410
Phone number: 479-404-9675
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