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1780833442
TARA NICOLE WALLACE
SEARCY, AR
NPI
1780833442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR O-T0855)
Enumeration Date
2008-09-17
Last Update Date
2008-09-17
Business Address
Mrs. TARA NICOLE WALLACE OTR/L
1905 W BEEBE CAPPS EXPY
SEARCY, AR 72143-5012
Phone number: 501-268-5001
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Mailing Address
Mrs. TARA NICOLE WALLACE OTR/L
1905 W BEEBE CAPPS EXPY
SEARCY, AR 72143-5012
Phone number: 501-268-5001
Copy
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