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1043962368
LISA COOPER
LAKE VILLAGE, AR
NPI
1043962368
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Former Name
LISA MEREDITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-19
Last Update Date
2022-02-02
Business Address
LISA COOPER
1127 SECOND ST
LAKE VILLAGE, AR 71653-1541
Phone number: 870-265-3808
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Mailing Address
LISA COOPER
790 ROBERTS DR
MONTICELLO, AR 71655-5723
Phone number: 870-367-2461
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