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1851820104
SUMMER NICOLE LAND
RUSSELLVILLE, AR
NPI
1851820104
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Former Name
SUMMER NICOLE DAWSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4186)
Enumeration Date
2017-06-09
Last Update Date
2020-02-27
Business Address
SUMMER NICOLE LAND PTA
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
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Mailing Address
SUMMER NICOLE LAND PTA
2740 COLLEGE AVE
CONWAY, AR 72034-6141
Phone number: 501-329-5459
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