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1053002782
LANEY RAE AMOS
SILOAM SPRINGS, AR
NPI
1053002782
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Former Name
LANEY RAE LEROY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
LANEY RAE AMOS
710 S HOLLY ST
SILOAM SPRINGS, AR 72761-3304
Phone number: 479-524-8618
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Mailing Address
LANEY RAE AMOS
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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