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1497402564
FELICIA RENEE BUMBALOUGH
TILLY, AR
NPI
1497402564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175M00000X Midwife, Lay
(Licence: AR 012022)
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
FELICIA RENEE BUMBALOUGH LLM
1988 HOG FARM RD
TILLY, AR 72679-9731
Phone number: 870-504-3124
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Mailing Address
FELICIA RENEE BUMBALOUGH LLM
1988 HOG FARM RD
TILLY, AR 72679-9731
Phone number: 870-504-3124
Copy