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1366692014
VINCENT R PHENIX
PINE BLUFF, AR
NPI
1366692014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
-- VINCENT R PHENIX
3004 W 34TH AVE
PINE BLUFF, AR 71603-5502
Phone number: 870-534-1880
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Mailing Address
-- VINCENT R PHENIX
2500 RIKE DR
PINE BLUFF, AR 71603-3937
Phone number: 870-534-1834
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