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CESILEY RIDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1306 N EL PASO AVE, HULL 128, RUSSELLVILLE, AR 72801-8814
(479) 968-0642
(479) 498-6044
Mailing address
1306 N EL PASO AVE, HULL 128, RUSSELLVILLE, AR 72801-8814
(479) 968-0642
(479) 498-6044

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
694
OK
2255A2300X
Athletic Trainer
Primary
698
AR

Other

Enumeration date
01/19/2016
Last updated
01/19/2016
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