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1255010815
ANDREW RYAN LAVESPERE
CORNING, AR
NPI
1255010815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR PLMSW)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
ANDREW RYAN LAVESPERE
602 DAVID ST
CORNING, AR 72422-7268
Phone number: 870-857-3655
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Mailing Address
ANDREW RYAN LAVESPERE
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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