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1679166565
JACKIE WHITAKER
PARAGOULD, AR
NPI
1679166565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-11
Last Update Date
2021-02-11
Business Address
JACKIE WHITAKER
1 LAUBACH DR
PARAGOULD, AR 72450-7245
Phone number: 870-568-5195
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Mailing Address
JACKIE WHITAKER
4101 ANGELUS ST
PARAGOULD, AR 72450-2523
Phone number: 870-568-5195
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