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1497139174
DERRICA CONKLIN
FAYETTEVILLE, AR
NPI
1497139174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374J00000X Doula
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
Mrs. DERRICA CONKLIN
3359 W CORNELL DR
FAYETTEVILLE, AR 72704-6775
Phone number: 479-200-8054
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Mailing Address
Mrs. DERRICA CONKLIN
3359 W CORNELL DR
FAYETTEVILLE, AR 72704-6775
Phone number: 479-200-8054
Copy
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