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1033326343
SHERRIE SHANICKA GAVIN
OSCEOLA, AR
NPI
1033326343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-17
Last Update Date
2016-01-19
Business Address
-- SHERRIE SHANICKA GAVIN MHPP
3201 W. KEISER AVENUE
OSCEOLA, AR 72370
Phone number: 870-622-0592
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Mailing Address
-- SHERRIE SHANICKA GAVIN MHPP
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
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