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1699179713
RODERICK GREEN
EL DORADO, AR
NPI
1699179713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
-- RODERICK GREEN
412 N WASHINGTON AVE
EL DORADO, AR 71730-5616
Phone number: 870-863-4611
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Mailing Address
-- RODERICK GREEN
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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