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FORT SMITH, AR
NPI1780950683
Entity TypeOrganization
Authorized ContactILA MAUREEN DEBOSE
Owner
479-719-7051
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies251S00000X 
(Licence: AR  2158-C)
Enumeration Date2012-03-26
Last Update Date2015-04-27
Business Address
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4943 OLD GREENWOOD RD SUITE 2
FORT SMITH, AR 72903
Phone number: 479-719-7051
Mailing Address
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5410 FREE FERRY RD
FORT SMITH, AR 72903
Phone number: 479-719-7051
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