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1164843017
KIRK DUBOISE
FORT SMITH, AR
NPI
1164843017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
-- KIRK DUBOISE
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083
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Mailing Address
-- KIRK DUBOISE
615 N 19TH ST
FORT SMITH, AR 72901-3319
Phone number: 479-785-4083
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