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1609366350
ERIC DOMINIC PARKS
TEXARKANA, AR
NPI
1609366350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
ERIC DOMINIC PARKS
7000 N STATE LINE AVE
TEXARKANA, AR 71854-8100
Phone number: 870-774-1315
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Mailing Address
ERIC DOMINIC PARKS
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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