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1740420694
FAYTRENE THOMAS
PINE BLUFF, AR
NPI
1740420694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR 461)
Enumeration Date
2009-03-04
Last Update Date
2009-03-04
Business Address
-- FAYTRENE THOMAS MSE., CCC-SP
318 W 24TH AVE
PINE BLUFF, AR 71601-7811
Phone number: 870-536-4369
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Mailing Address
-- FAYTRENE THOMAS MSE., CCC-SP
318 W 24TH AVE
PINE BLUFF, AR 71601-7811
Phone number: 870-536-4369
Copy
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