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1063024131
KATHRYN TACKETT
FAYETTEVILLE, AR
NPI
1063024131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
KATHRYN TACKETT
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4932
Phone number: 479-841-4938
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Mailing Address
KATHRYN TACKETT
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4932
Phone number: 479-841-4938
Copy
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