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1942594437
DERICK WADE CUNNINGHAM
FAYETTEVILLE, AR
NPI
1942594437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AR 6977)
Enumeration Date
2011-06-02
Last Update Date
2011-06-02
Business Address
-- DERICK WADE CUNNINGHAM LMT
3001 W WEDINGTON DR APT 73
FAYETTEVILLE, AR 72701-1528
Phone number: 870-284-4029
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Mailing Address
-- DERICK WADE CUNNINGHAM LMT
3001 W WEDINGTON DR APT 73
FAYETTEVILLE, AR 72701-1528
Phone number: 870-284-4029
Copy
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