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1942674007
WILLIAM TAYLOR MIDDLETON
RUSSELLVILLE, AR
NPI
1942674007
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Other Name
TAYLOR MIDDLETON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AR OTR2078)
Enumeration Date
2015-11-30
Last Update Date
2023-01-10
Business Address
WILLIAM TAYLOR MIDDLETON OT
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802-9646
Phone number: 479-968-7118
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Mailing Address
WILLIAM TAYLOR MIDDLETON OT
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322
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