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1760672695
KIM CLARK DILLARD
WYNNE, AR
NPI
1760672695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 880)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
-- KIM CLARK DILLARD PTA
23 COUNTY ROAD 3640
WYNNE, AR 72396-8195
Phone number: 501-416-6634
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Mailing Address
-- KIM CLARK DILLARD PTA
23 COUNTY ROAD 3640
WYNNE, AR 72396-8195
Phone number: 501-416-6634
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