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1407585904
MADYSON ELLIS
BENTONVILLE, AR
NPI
1407585904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
MADYSON ELLIS
103 SE 22ND ST
BENTONVILLE, AR 72712-7188
Phone number: 479-282-1906
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Mailing Address
MADYSON ELLIS
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4932
Phone number: 479-521-8326
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