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1295721702
RAYFORD LEE TACKETT
CLARKSVILLE, AR
NPI
1295721702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: AR C8312)
Enumeration Date
2005-09-21
Last Update Date
2007-07-08
Business Address
Dr. RAYFORD LEE TACKETT
23 PROFESSIONAL PARK DR
CLARKSVILLE, AR 72830-4432
Phone number: 479-754-4721
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Mailing Address
Dr. RAYFORD LEE TACKETT
23 PROFESSIONAL PARK DR
CLARKSVILLE, AR 72830-4432
Phone number: 479-754-4721
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