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Individual

SEAN ROSS HUDDLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1350 S GUTENSOHN RD, #10, SPRINGDALE, AR 72762-5117
(479) 751-7122
Mailing address
2858 W REDSTONE DR, FAYETTEVILLE, AR 72704-5139
(417) 239-4242

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 567
AR

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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