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1659521771
RICHARD WAYNE IRVIN
JONESBORO, AR
NPI
1659521771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AR L45386)
Enumeration Date
2008-09-25
Last Update Date
2008-09-25
Business Address
Mr. RICHARD WAYNE IRVIN LPN, MHPP
1817 WOODSPRINGS RD STE G
JONESBORO, AR 72401-0903
Phone number: 870-934-9800
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Mailing Address
Mr. RICHARD WAYNE IRVIN LPN, MHPP
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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