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1134464282
ALLYCE MARTIN
VAN BUREN, AR
NPI
1134464282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-11-30
Last Update Date
2012-11-30
Business Address
-- ALLYCE MARTIN
1316 MAIN ST
VAN BUREN, AR 72956-4557
Phone number: 479-471-6892
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Mailing Address
-- ALLYCE MARTIN
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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