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1114688900
ALEXA GRISSOM
JONESBORO, AR
NPI
1114688900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 201688)
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
ALEXA GRISSOM
3005 APACHE DR
JONESBORO, AR 72401-7432
Phone number: 870-336-0238
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Mailing Address
ALEXA GRISSOM
3005 APACHE DR
JONESBORO, AR 72401-7432
Phone number: 870-336-0238
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