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1053602383
MACK ALLEN BENTLEY
FAYETTEVILLE, AR
NPI
1053602383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-04-20
Last Update Date
2011-04-20
Business Address
-- MACK ALLEN BENTLEY
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number: 479-521-1532
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Mailing Address
-- MACK ALLEN BENTLEY
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number:
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