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1891814133
DORIS CHILDRESS
BENTON, AR
NPI
1891814133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AR 4252)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
DORIS CHILDRESS LMT
5913 RIVIERA DR
BENTON, AR 72015-6659
Phone number: 501-653-2155
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Mailing Address
DORIS CHILDRESS LMT
5913 RIVIERA DR
BENTON, AR 72015-6659
Phone number: 501-653-2155
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