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1033994595
JOHN ANTHONY MCCOLLUM
FORT SMITH, AR
NPI
1033994595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A2308023)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
JOHN ANTHONY MCCOLLUM LAC
2414 S 57TH ST STE 101
FORT SMITH, AR 72903-3855
Phone number: 479-280-9980
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Mailing Address
JOHN ANTHONY MCCOLLUM LAC
P.O. DRAWER 2109
RUSSELLVILLE, AR 72811-2109
Phone number: 479-967-2322
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