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1962896217
MADELINE NOEL FULTS
PINE BLUFF, AR
NPI
1962896217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-25
Last Update Date
2015-03-25
Business Address
-- MADELINE NOEL FULTS CIT
2304 W 29TH AVE SUITE 1
PINE BLUFF, AR 71603-5005
Phone number: 870-247-5222
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Mailing Address
-- MADELINE NOEL FULTS CIT
PO BOX 21203
WHITE HALL, AR 71612-1203
Phone number: 870-247-5222
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