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1619281425
KRYSTAL FAIR
PINE BLUFF, AR
NPI
1619281425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
-- KRYSTAL FAIR BA, MHPP
2500 RIKE DR
PINE BLUFF, AR 71603-3937
Phone number: 870-534-1834
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Mailing Address
-- KRYSTAL FAIR BA, MHPP
2500 RIKE DR
PINE BLUFF, AR 71603-3937
Phone number: 870-534-1834
Copy
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