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1487937447
MATTHEW WALTER PENQUITE
FAYETTEVILLE, AR
NPI
1487937447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
MATTHEW WALTER PENQUITE
3715 N BUSINESS DR SUITE 104
FAYETTEVILLE, AR 72703-5204
Phone number: 479-575-9476
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Mailing Address
MATTHEW WALTER PENQUITE
3715 N BUSINESS DR SUITE 104
FAYETTEVILLE, AR 72703-5204
Phone number: 479-575-9476
Copy
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