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1043693450
MATTHEW WAYMACK
RUSSELLVILLE, AR
NPI
1043693450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-07-02
Last Update Date
2015-07-02
Business Address
-- MATTHEW WAYMACK
1610 S ARKANSAS AVE
RUSSELLVILLE, AR 72801-7125
Phone number: 479-967-4673
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Mailing Address
-- MATTHEW WAYMACK
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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