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1164032702
CHRISTOPHER RAY ROUSE
GRAVETTE, AR
NPI
1164032702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AR 2201)
Enumeration Date
2020-08-07
Last Update Date
2024-05-17
Business Address
CHRISTOPHER RAY ROUSE
210 WHITE OAK DR NE APT A
GRAVETTE, AR 72736-9629
Phone number: 918-353-2556
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Mailing Address
CHRISTOPHER RAY ROUSE
210 WHITE OAK DR NE APT A
GRAVETTE, AR 72736-9629
Phone number: 918-353-2556
Copy
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