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1841768553
ASHLEY LYNN RUSSOM
PARAGOULD, AR
NPI
1841768553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
ASHLEY LYNN RUSSOM
28 SOUTHPOINTE DR
PARAGOULD, AR 72450-6238
Phone number: 870-239-2244
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Mailing Address
ASHLEY LYNN RUSSOM
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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