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1790105302
HANNAH MANTOOTH
FAYETTEVILLE, AR
NPI
1790105302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR pta 2461)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
-- HANNAH MANTOOTH
2403 MAIN DR STE 5
FAYETTEVILLE, AR 72704-5275
Phone number: 479-966-4883
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Mailing Address
-- HANNAH MANTOOTH
2403 MAIN DR STE 5
FAYETTEVILLE, AR 72704-5275
Phone number:
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