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1073205910
STEPHANIE MONGOLD
SPRINGDALE, AR
NPI
1073205910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AR L-140942)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
STEPHANIE MONGOLD LDO
4870 ELM SPRINGS RD
SPRINGDALE, AR 72762-3749
Phone number: 479-306-7029
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Mailing Address
STEPHANIE MONGOLD LDO
4266 LINKS DR APT 104
SPRINGDALE, AR 72762-5663
Phone number: 479-601-1944
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