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1982808945
LESLI BACON MCCULLY
WEST MEMPHIS, AR
NPI
1982808945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR sp8000)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- LESLI BACON MCCULLY
610 S AVALON ST
WEST MEMPHIS, AR 72301-4109
Phone number: 870-400-3481
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Mailing Address
-- LESLI BACON MCCULLY
1696 CARRUTHERS PL
MEMPHIS, TN 38112-5208
Phone number: 901-604-7611
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