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1851419022
ROCKY LEE SHANKLE
FORT SMITH, AR
NPI
1851419022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AR 3469)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Mr. ROCKY LEE SHANKLE lmt
3800 ROGERS AVE STE2
FORT SMITH, AR 72903-3046
Phone number: 479-783-0369
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Mailing Address
Mr. ROCKY LEE SHANKLE lmt
4801 UNION TOWN HWY
VAN BUREN, AR 72956
Phone number: 479-471-1582
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