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1710205331
LARISSA NALL
FAYETTEVILLE, AR
NPI
1710205331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 1338)
Enumeration Date
2010-05-06
Last Update Date
2010-05-06
Business Address
-- LARISSA NALL PTA
2403 MAIN DR SUITE #5
FAYETTEVILLE, AR 72704-5223
Phone number: 479-966-4883
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Mailing Address
-- LARISSA NALL PTA
2403 MAIN DR SUITE #5
FAYETTEVILLE, AR 72704-5223
Phone number:
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