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1124700638
PAYTON LYNN BRAZEAL
BENTON, AR
NPI
1124700638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 202340)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
PAYTON LYNN BRAZEAL
17706 INTERSTATE 30 N STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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Mailing Address
PAYTON LYNN BRAZEAL
17706 INTERSTATE 30 N STE 3
BENTON, AR 72019-2930
Phone number:
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