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1801165345
BRENDA EAGLE
LINCOLN, AR
NPI
1801165345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: AR 050190750108E)
Enumeration Date
2011-12-28
Last Update Date
2011-12-28
Business Address
-- BRENDA EAGLE
20645 W HIGHWAY 62
LINCOLN, AR 72744-8796
Phone number: 479-409-0214
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Mailing Address
-- BRENDA EAGLE
PO BOX 202
PRAIRIE GROVE, AR 72753-0202
Phone number:
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