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1235167578
DONNA M VAN KIRK
FAYETTEVILLE, AR
NPI
1235167578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: AR 8210P)
Enumeration Date
2006-06-28
Last Update Date
2019-11-27
Business Address
DONNA M VAN KIRK EDD
204 N EAST AVE
FAYETTEVILLE, AR 72701-5225
Phone number: 479-466-9609
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Mailing Address
DONNA M VAN KIRK EDD
31 S KESTREL DR
FAYETTEVILLE, AR 72701-1322
Phone number: 479-466-0960
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