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1043686116
MEGAN ELLIS
CLARENDON, AR
NPI
1043686116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: AR pt2580)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- MEGAN ELLIS
545 N MAIN ST
CLARENDON, AR 72029-2017
Phone number: 870-830-6805
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Mailing Address
-- MEGAN ELLIS
545 N MAIN ST
CLARENDON, AR 72029-2017
Phone number: 870-830-6805
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