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1104697093
MOLLIE VIRGINIA JANE BRECKENRIDGE
MOUNTAIN HOME, AR
NPI
1104697093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 202525)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
MOLLIE VIRGINIA JANE BRECKENRIDGE
230 HIGHWAY 5 N STE 10
MOUNTAIN HOME, AR 72653-3013
Phone number: 870-404-0270
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Mailing Address
MOLLIE VIRGINIA JANE BRECKENRIDGE
40 CRYSTAL CREEK DR
MOUNTAIN HOME, AR 72653-5303
Phone number: 870-706-0475
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