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1750676425
ELEASHA CLARK
SPRINGDALE, AR
NPI
1750676425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT2016-002)
Enumeration Date
2011-06-10
Last Update Date
2016-01-25
Business Address
-- ELEASHA CLARK COTA
673 BROOKHAVEN CT APT 201
SPRINGDALE, AR 72764-6170
Phone number: 906-281-2271
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Mailing Address
-- ELEASHA CLARK COTA
673 BROOKHAVEN CT APT 201
SPRINGDALE, AR 72764-6170
Phone number: 479-750-2020
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