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Individual

MARYBELLE BEAULIEU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-0101
Mailing address
1219 S DUNN AVE, FAYETTEVILLE, AR 72701-6421

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1742
AR

Other

Enumeration date
07/29/2021
Last updated
08/03/2021
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