LA'TROY DANTE WAKEFIELD

SPRINGDALE, AR
NPI1689849507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
-- LA'TROY DANTE WAKEFIELD MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
Mailing Address
-- LA'TROY DANTE WAKEFIELD MHPP
PO BOX 6430
SPRINGDALE, AR 72766-6430
Phone number: 479-750-2020
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