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1750690194
BRACK R PONDEXTER
TEXARKANA, AR
NPI
1750690194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-10-04
Last Update Date
2010-10-04
Business Address
-- BRACK R PONDEXTER
4323 JEFFERSON AVE
TEXARKANA, AR 71854-1515
Phone number: 870-773-0700
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Mailing Address
-- BRACK R PONDEXTER
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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