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Individual

AUDREY BIRGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 N 1ST ST STE 4, JACKSONVILLE, AR 72076-4139
(501) 241-0410
Mailing address
60 S SHERMAN RD, RUSSELLVILLE, AR 72802-1994

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
03/17/2022
Last updated
03/17/2022
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