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1003374943
ADAWNDA J MINNIE
FORT SMITH, AR
NPI
1003374943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
ADAWNDA J MINNIE BA
1801 CAVANAUGH RD LOT 37
FORT SMITH, AR 72908-7758
Phone number: 479-653-2513
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Mailing Address
ADAWNDA J MINNIE BA
1801 CAVANAUGH RD LOT 37
FORT SMITH, AR 72908-7758
Phone number: 479-653-2513
Copy
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