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1710014170
RONALD DEAN BUSH
CLARKSVILLE, AR
NPI
1710014170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR 85-13E)
Enumeration Date
2007-02-27
Last Update Date
2009-02-05
Business Address
-- RONALD DEAN BUSH LPE
522 MILL RD
CLARKSVILLE, AR 72830-8511
Phone number: 479-705-1301
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Mailing Address
-- RONALD DEAN BUSH LPE
PO BOX 1589
BENTON, AR 72018-1589
Phone number:
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