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1790357945
ETHAN D ERWIN
BELLA VISTA, AR
NPI
1790357945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 4646)
Enumeration Date
2021-07-15
Last Update Date
2021-07-15
Business Address
ETHAN D ERWIN
1801 FOREST HILLS BLVD STE 205
BELLA VISTA, AR 72715-3071
Phone number: 479-855-9348
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Mailing Address
ETHAN D ERWIN
124 S COLLEGE ST APT 8
MOUNTAIN HOME, AR 72653-3921
Phone number: 870-405-3435
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