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1285160119
LANE MCCULLOUGH
FAYETTEVILLE, AR
NPI
1285160119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Additional Taxonomies
174400000X Specialist
Enumeration Date
2017-05-11
Last Update Date
2022-12-06
Business Address
LANE MCCULLOUGH
1000 W BULLDOG BLVD
FAYETTEVILLE, AR 72701-4714
Phone number: 479-444-3000
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Mailing Address
LANE MCCULLOUGH
1000 W BULLDOG BLVD
FAYETTEVILLE, AR 72701-4714
Phone number: 479-444-3000
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