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1922357995
DEANNA RANDOLPH
FORT SMITH, AR
NPI
1922357995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2650)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- DEANNA RANDOLPH PTA
1801 S 74TH ST
FORT SMITH, AR 72903-2814
Phone number: 479-928-0128
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Mailing Address
-- DEANNA RANDOLPH PTA
1801 S 74TH ST
FORT SMITH, AR 72903-2814
Phone number:
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