Individual
SARAH ETTA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 CELIA DR, CONWAY, AR 72034-5511
(479) 276-9080
Mailing address
2912 CELIA DR, CONWAY, AR 72034-5511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1197
OK
Other
Enumeration date
02/15/2019
Last updated
11/19/2020
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