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1184468472
TABATHA BRADLEY
WYNNE, AR
NPI
1184468472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A2406004)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
TABATHA BRADLEY LAC
204 MISSISSIPPI ST S
WYNNE, AR 72396-3025
Phone number: 870-208-8499
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Mailing Address
TABATHA BRADLEY LAC
204 MISSISSIPPI ST S
WYNNE, AR 72396-3025
Phone number: 870-208-8499
Copy
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