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1316311467
BOGAN AVERY
SEARCY, AR
NPI
1316311467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR A1511155)
Enumeration Date
2015-11-30
Last Update Date
2018-05-09
Business Address
MR. BOGAN AVERY LAC
1507 E. RACE ST.
SEARCY, AR 72143-4661
Phone number: 501-305-2359
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Mailing Address
MR. BOGAN AVERY LAC
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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