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1912263955
TONYA GODUSH
WYNNE, AR
NPI
1912263955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 1953)
Enumeration Date
2012-04-04
Last Update Date
2012-04-04
Business Address
-- TONYA GODUSH
2401 WIXSON ST APT F
WYNNE, AR 72396-4058
Phone number: 870-318-5092
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Mailing Address
-- TONYA GODUSH
2401 WIXSON ST APT F
WYNNE, AR 72396-4058
Phone number:
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