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1891993002
TABATHA JEAN WILSON
PARAGOULD, AR
NPI
1891993002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
Mrs. TABATHA JEAN WILSON mhpp
1910 RECTOR RD
PARAGOULD, AR 72450-2004
Phone number: 870-240-8500
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Mailing Address
Mrs. TABATHA JEAN WILSON mhpp
1910 RECTOR RD
PARAGOULD, AR 72450-2004
Phone number: 870-240-8500
Copy
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