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1053726109
LANIECE EDWARDS
LAKE VILLAGE, AR
NPI
1053726109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-06-27
Last Update Date
2014-06-27
Business Address
-- LANIECE EDWARDS
1652 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653-1662
Phone number: 870-265-3711
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Mailing Address
-- LANIECE EDWARDS
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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