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1013301712
ALLEN LATHAM
WEST MEMPHIS, AR
NPI
1013301712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-03-20
Last Update Date
2024-10-16
Business Address
ALLEN LATHAM
205 W BOND AVE
WEST MEMPHIS, AR 72301-3907
Phone number: 870-520-5014
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Mailing Address
ALLEN LATHAM
PO BOX 11064
FAYETTEVILLE, AR 72703-1001
Phone number: 870-520-5014
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