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1205520111
MARY MARGARET RUSSELL
FAYETTEVILLE, AR
NPI
1205520111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 202232)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
MARY MARGARET RUSSELL MS, CF-SLP
3162 W MARTIN LUTHER KING JR BLVD STE 4
FAYETTEVILLE, AR 72704-7679
Phone number: 479-435-6636
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Mailing Address
MARY MARGARET RUSSELL MS, CF-SLP
385 E DRAKE ST
FAYETTEVILLE, AR 72703-3345
Phone number: 501-454-5724
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