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1710255518
ANGELA MARIE GILILLAND
BENTON, AR
NPI
1710255518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR pta2362)
Enumeration Date
2011-12-07
Last Update Date
2011-12-07
Business Address
Miss ANGELA MARIE GILILLAND PTA
519 REVIS ST
BENTON, AR 72015-4648
Phone number: 479-495-0651
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Mailing Address
Miss ANGELA MARIE GILILLAND PTA
519 REVIS ST
BENTON, AR 72015-4648
Phone number:
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