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1134701063
IAN TORNATORE
FAYETTEVILLE, AR
NPI
1134701063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR A2104006)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
IAN TORNATORE LAC
2 E CLEBURN ST
FAYETTEVILLE, AR 72701-2001
Phone number: 479-222-0896
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Mailing Address
IAN TORNATORE LAC
2 E CLEBURN ST
FAYETTEVILLE, AR 72701-2001
Phone number:
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