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1972340388
ADAM GARRETT TEDFORD
TUCKERMAN, AR
NPI
1972340388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 4949)
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
ADAM GARRETT TEDFORD
1502 HIGHWAY 367
TUCKERMAN, AR 72473
Phone number: 870-522-7576
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Mailing Address
ADAM GARRETT TEDFORD
4710 SAMS PL
JONESBORO, AR 72404-8386
Phone number: 870-897-8991
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