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1437397403
TAMIIKA VINCENT
JACKSONVILLE, AR
NPI
1437397403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR 08-42AE-PL)
Enumeration Date
2009-01-29
Last Update Date
2009-01-29
Business Address
-- TAMIIKA VINCENT Provisional LPE
2411 W MAIN ST
JACKSONVILLE, AR 72076-4211
Phone number: 501-982-5402
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Mailing Address
-- TAMIIKA VINCENT Provisional LPE
2411 W MAIN ST
JACKSONVILLE, AR 72076-4211
Phone number: 501-982-5402
Copy
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