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1770040552
LAURA NULL
WEST MEMPHIS, AR
NPI
1770040552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4449)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
LAURA NULL PTA
200 W BROADWAY ST
WEST MEMPHIS, AR 72301-3904
Phone number: 870-394-7000
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Mailing Address
LAURA NULL PTA
200 W BROADWAY ST
WEST MEMPHIS, AR 72301-3904
Phone number: 870-394-7000
Copy
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