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1417292046
AMANDA KAY HARRIS
FAYETTEVILLE, AR
NPI
1417292046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: AR 6304)
Enumeration Date
2012-12-08
Last Update Date
2012-12-08
Business Address
Ms. AMANDA KAY HARRIS LMT
160 E POPLAR ST STE A
FAYETTEVILLE, AR 72703-2574
Phone number: 479-790-3559
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Mailing Address
Ms. AMANDA KAY HARRIS LMT
160 E POPLAR ST STE A
FAYETTEVILLE, AR 72703-2574
Phone number: 479-790-3559
Copy
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