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1821767690
MARLY L RUSSELL
CHEROKEE VILLAGE, AR
NPI
1821767690
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Former Name
MARLY L. JINES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4613)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
MARLY L RUSSELL PTA
31 CHOCTAW CENTER
CHEROKEE VILLAGE, AR 72529
Phone number: 870-856-4325
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Mailing Address
MARLY L RUSSELL PTA
31 CHOCTAW CENTER
CHEROKEE VILLAGE, AR 72529
Phone number: 870-856-4325
Copy
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