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Individual

PAMALA SHEWBUIRT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 N ROCKINGCHAIR RD, PARAGOULD, AR 72450-2414
(870) 897-2372
(870) 236-2529
Mailing address
1905 GLENDALE ST, PARAGOULD, AR 72450-4835

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
230
AR

Other

Enumeration date
07/15/2013
Last updated
07/15/2013
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