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1790948396
LISA ROSS
BENTON, AR
NPI
1790948396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2008-07-03
Last Update Date
2008-07-03
Business Address
-- LISA ROSS
100 RIVENDELL DR
BENTON, AR 72019-9188
Phone number: 501-316-1255
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Mailing Address
-- LISA ROSS
100 RIVENDELL DR
BENTON, AR 72019-9188
Phone number:
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