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1053786855
JOHNISHA GRAHAM
LAKE VILLAGE, AR
NPI
1053786855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-12-04
Last Update Date
2015-12-04
Business Address
JOHNISHA GRAHAM
1652 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653-1662
Phone number: 479-464-1060
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Mailing Address
JOHNISHA GRAHAM
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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