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1033479563
DOUGLAS J LURTEN
FAYETTEVILLE, AR
NPI
1033479563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-17
Last Update Date
2012-05-17
Business Address
DOUGLAS J LURTEN MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-443-6496
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Mailing Address
DOUGLAS J LURTEN MHPP
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-1427
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