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1295890226
LISA M COULTER
BENTON, AR
NPI
1295890226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Additional Taxonomies
2472E0500X Technician, Other, EEG
Enumeration Date
2006-12-27
Last Update Date
2007-08-13
Business Address
-- LISA M COULTER reegt,rpsgt
2101 CONGO SUITE 900
BENTON, AR 72015-2750
Phone number: 501-315-8818
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Mailing Address
-- LISA M COULTER reegt,rpsgt
PO BOX 8694
HOT SPRINGS VILLAGE, AR 71910-8694
Phone number: 501-860-6130
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