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1386036382
RICHARD WAGGONER
SPRINGDALE, AR
NPI
1386036382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-02-27
Last Update Date
2015-02-27
Business Address
-- RICHARD WAGGONER
750 MATHIAS DR
SPRINGDALE, AR 72762-0741
Phone number: 479-750-1272
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Mailing Address
-- RICHARD WAGGONER
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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