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1558518928
FANNIE BOLDEN
LAKE VILLAGE, AR
NPI
1558518928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
FANNIE BOLDEN AT
608 S HIGHWAY 65 82 STE B
LAKE VILLAGE, AR 71653-1743
Phone number: 870-265-3711
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Mailing Address
FANNIE BOLDEN AT
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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