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1053661009
SHALIMAR BRUCE
MORRILTON, AR
NPI
1053661009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-09-18
Last Update Date
2012-09-18
Business Address
-- SHALIMAR BRUCE
1300 HIGHWAY 9
MORRILTON, AR 72110-9403
Phone number: 501-208-5911
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Mailing Address
-- SHALIMAR BRUCE
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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