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1740503168
LISA ANN EWALD
VAN BUREN, AR
NPI
1740503168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1425)
Enumeration Date
2010-03-12
Last Update Date
2019-08-29
Business Address
LISA ANN EWALD
816 FAYETTEVILLE RD
VAN BUREN, AR 72956-3423
Phone number: 479-629-3682
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Mailing Address
LISA ANN EWALD
6524 GOINES DR
VAN BUREN, AR 72956-7920
Phone number: 479-629-3682
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