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1396382859
LARRY DEWAYNE NOEL
TEXARKANA, AR
NPI
1396382859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
LARRY DEWAYNE NOEL
7000 N STATE LINE AVE
TEXARKANA, AR 71854-8100
Phone number: 870-774-1315
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Mailing Address
LARRY DEWAYNE NOEL
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number:
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