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1083761464
DAVID A SHADE
JONESBORO, AR
NPI
1083761464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: AR 83-13EI)
Enumeration Date
2007-01-05
Last Update Date
2016-11-02
Business Address
Mr. DAVID A SHADE M.S., LPE-I
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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Mailing Address
Mr. DAVID A SHADE M.S., LPE-I
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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