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1932760220
MALACHI MICHAEL GOTT
CHEROKEE VILLAGE, AR
NPI
1932760220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4342)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
MALACHI MICHAEL GOTT PTA
31 CHOCTAW CENTER
CHEROKEE VILLAGE, AR 72529
Phone number: 870-856-4325
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Mailing Address
MALACHI MICHAEL GOTT PTA
PO BOX 398
HARDY, AR 72542-0398
Phone number: 870-856-4325
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