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1245527589
TIMOTHY MARK CUPPLES
WEST MEMPHIS, AR
NPI
1245527589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
MR. TIMOTHY MARK CUPPLES CIT
310 MID CONTINENT PLZ 6TH FLOOR SUITE 602
WEST MEMPHIS, AR 72301-1760
Phone number: 870-735-2499
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Mailing Address
MR. TIMOTHY MARK CUPPLES CIT
310 MID CONTINENT PLZ 6TH FLOOR SUITE 602
WEST MEMPHIS, AR 72301-1760
Phone number: 870-735-2499
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