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1063608883
STEPHEN TIMONTHY SOUTHARD
CABOT, AR
NPI
1063608883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: AR 61105)
Enumeration Date
2007-09-16
Last Update Date
2007-09-16
Business Address
Mr. STEPHEN TIMONTHY SOUTHARD
102 EPPERSON DR
CABOT, AR 72023-2104
Phone number: 501-843-2854
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Mailing Address
Mr. STEPHEN TIMONTHY SOUTHARD
102 EPPERSON DR
CABOT, AR 72023-2104
Phone number: 501-843-2854
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