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1316581770
JOHANNAH LOGAN WICKHAM
LOWELL, AR
NPI
1316581770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
JOHANNAH LOGAN WICKHAM
406A ASH ST
LOWELL, AR 72745-9629
Phone number: 479-879-4241
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Mailing Address
JOHANNAH LOGAN WICKHAM
406 ASH ST # A
LOWELL, AR 72745-9629
Phone number: 479-879-4241
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