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1770085854
JACLYN LEE LANTZ
BELLA VISTA, AR
NPI
1770085854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR3841)
Enumeration Date
2018-03-05
Last Update Date
2023-09-29
Business Address
JACLYN LEE LANTZ COTA/L
24 KENTALLEN LN
BELLA VISTA, AR 72715-2903
Phone number: 479-531-3797
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Mailing Address
JACLYN LEE LANTZ COTA/L
24 KENTALLEN LN
BELLA VISTA, AR 72715-2903
Phone number: 479-531-3797
Copy
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