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1730451014
JOSE JOEL HERRERA
SPRINGDALE, AR
NPI
1730451014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2566)
Enumeration Date
2012-02-02
Last Update Date
2012-02-02
Business Address
Mr. JOSE JOEL HERRERA PTA
1112 S 48TH ST
SPRINGDALE, AR 72762-5848
Phone number: 479-751-3900
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Mailing Address
Mr. JOSE JOEL HERRERA PTA
3461 REMINGTON ST
SPRINGDALE, AR 72764-7094
Phone number: 479-502-8349
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