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1700245610
KELLEY HUMBARD
WEST FORK, AR
NPI
1700245610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR2875)
Enumeration Date
2016-02-19
Last Update Date
2023-01-18
Business Address
KELLEY HUMBARD OT
272 SCHOOL AVE
WEST FORK, AR 72774-3124
Phone number: 479-839-3349
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Mailing Address
KELLEY HUMBARD OT
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322
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