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1407256423
BLAKE CHILDERS
FAYETTEVILLE, AR
NPI
1407256423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SP#2670)
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
-- BLAKE CHILDERS
1000 W BULLDOG BLVD
FAYETTEVILLE, AR 72701-4714
Phone number: 479-973-8639
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Mailing Address
-- BLAKE CHILDERS
1000 W BULLDOG BLVD
FAYETTEVILLE, AR 72701-4714
Phone number: 479-973-8639
Copy
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