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1760540140
BENJIE ACOSTA LETRAN
BENTONVILLE, AR
NPI
1760540140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR1830)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
BENJIE ACOSTA LETRAN OT
803 SE PLAZA AVE
BENTONVILLE, AR 72712-7772
Phone number: 479-636-1270
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Mailing Address
BENJIE ACOSTA LETRAN OT
1519 S.20TH ST.
ROGERS, AR 72758
Phone number: 479-636-1270
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