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1073873816
SHANTANIQUE POWELL
HOXIE, AR
NPI
1073873816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-05-28
Last Update Date
2012-05-28
Business Address
-- SHANTANIQUE POWELL
107 NW TEXAS ST
HOXIE, AR 72433-1128
Phone number: 870-886-7200
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Mailing Address
-- SHANTANIQUE POWELL
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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