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1871148379
SHELLY R STATTON
BRYANT, AR
NPI
1871148379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1529)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
SHELLY R STATTON
200 NW 4TH ST
BRYANT, AR 72022-3424
Phone number: 501-847-5660
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Mailing Address
SHELLY R STATTON
1200 OXFORD AVE
BENTON, AR 72019-2664
Phone number:
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