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1811329196
CARLISA FORD
BENTON, AR
NPI
1811329196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR2612)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
-- CARLISA FORD
17706 I-30 STE. 3
BENTON, AR 72019-2907
Phone number: 501-315-4414
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Mailing Address
-- CARLISA FORD
17706 I-30 STE. 3
BENTON, AR 72019-2907
Phone number: 501-315-4414
Copy
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