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1053604769
SUSAN RENA DAVIS
MONTICELLO, AR
NPI
1053604769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-05-27
Last Update Date
2011-05-27
Business Address
-- SUSAN RENA DAVIS
1371 HIGHWAY 278 W
MONTICELLO, AR 71655-9663
Phone number: 870-367-2143
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Mailing Address
-- SUSAN RENA DAVIS
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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