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1780907899
AMANDA TRISTIN DRAKE
JONESBORO, AR
NPI
1780907899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR2340)
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
Mrs. AMANDA TRISTIN DRAKE OTR/L
1220 STONE ST
JONESBORO, AR 72401-4519
Phone number: 870-931-4200
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Mailing Address
Mrs. AMANDA TRISTIN DRAKE OTR/L
3840 HIGHWAY 358
PARAGOULD, AR 72450-9691
Phone number: 573-421-5516
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