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1982365615
MALLORY WILSON
JONESBORO, AR
NPI
1982365615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR 1798)
Enumeration Date
2022-01-05
Last Update Date
2022-01-05
Business Address
MALLORY WILSON OTA
1801 GRANT AVE
JONESBORO, AR 72401-6155
Phone number: 870-974-9114
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Mailing Address
MALLORY WILSON OTA
1801 GRANT AVE
JONESBORO, AR 72401-6155
Phone number: 870-974-9114
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