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1841061108
JOSIE MAE LASTOVICA
SPRINGDALE, AR
NPI
1841061108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AR 202542)
Enumeration Date
2024-01-15
Last Update Date
2024-12-16
Business Address
JOSIE MAE LASTOVICA
2070 MCKENZIE RD
SPRINGDALE, AR 72762-0747
Phone number: 479-750-7778
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Mailing Address
JOSIE MAE LASTOVICA
3207 S 28TH PL APT 103
ROGERS, AR 72758-4963
Phone number: 479-644-9282
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