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1235380221
JACRALL WILSON
BARLING, AR
NPI
1235380221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A0712096)
Enumeration Date
2008-10-08
Last Update Date
2008-10-08
Business Address
-- JACRALL WILSON
1311 FORT STREET
BARLING, AR 72923
Phone number: 479-452-5040
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Mailing Address
-- JACRALL WILSON
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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