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1790194280
JONATHAN DAVID CORDELL
PARAGOULD, AR
NPI
1790194280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 3840)
Enumeration Date
2014-08-08
Last Update Date
2014-08-08
Business Address
Mr. JONATHAN DAVID CORDELL P.T.A.
5000 S 27TH ST
PARAGOULD, AR 72450-5197
Phone number: 870-565-7763
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Mailing Address
Mr. JONATHAN DAVID CORDELL P.T.A.
5000 S 27TH ST
PARAGOULD, AR 72450-5197
Phone number: 870-565-7763
Copy
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