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1508484098
KELLY BRANSCUM
PARAGOULD, AR
NPI
1508484098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
KELLY BRANSCUM
4101 ANGELUS ST
PARAGOULD, AR 72450-2523
Phone number: 870-568-5195
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Mailing Address
KELLY BRANSCUM
4101 ANGELUS ST
PARAGOULD, AR 72450-2523
Phone number: 870-568-5195
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