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1982205043
LATASHA RENA VAN HEFLIN
SPRINGDALE, AR
NPI
1982205043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
LATASHA RENA VAN HEFLIN
1268 ELECTRIC AVE
SPRINGDALE, AR 72764-7498
Phone number: 870-336-8100
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Mailing Address
LATASHA RENA VAN HEFLIN
3127 SOUTHWEST DR
JONESBORO, AR 72404-8404
Phone number: 870-336-8100
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