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1902355522
TRAVIS EUGENE LILLARD
CHEROKEE VILLAGE, AR
NPI
1902355522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA1749)
Enumeration Date
2016-09-23
Last Update Date
2016-09-23
Business Address
Mr. TRAVIS EUGENE LILLARD PTA
31 CHOCTAW CENTER
CHEROKEE VILLAGE, AR 72529
Phone number: 870-856-4325
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Mailing Address
Mr. TRAVIS EUGENE LILLARD PTA
134 BLAIR TRL
POCAHONTAS, AR 72455-7920
Phone number: 870-378-3425
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