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1518579549
MARISA MONTGOMERY
JONESBORO, AR
NPI
1518579549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 201232)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
MARISA MONTGOMERY
3005 APACHE DR
JONESBORO, AR 72401-7432
Phone number: 870-336-0238
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Mailing Address
MARISA MONTGOMERY
3005 APACHE DR
JONESBORO, AR 72401-7432
Phone number: 870-336-0238
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