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1881618510
HEATHER BENAE GHORMLEY
FAYETTEVILLE, AR
NPI
1881618510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 1278)
Enumeration Date
2006-07-26
Last Update Date
2019-10-02
Business Address
HEATHER BENAE GHORMLEY RD
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
HEATHER BENAE GHORMLEY RD
15228 N HIGHWAY 59
SUMMERS, AR 72769-9602
Phone number: 479-443-4301
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