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1831797547
EMMA SULLIVENT
BEARDEN, AR
NPI
1831797547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4534)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
EMMA SULLIVENT PTA
240 OUACHITA ROAD 85
BEARDEN, AR 71720-9518
Phone number: 870-250-1604
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Mailing Address
EMMA SULLIVENT PTA
240 OUACHITA ROAD 85
BEARDEN, AR 71720-9518
Phone number: 870-250-1604
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