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1093107666
CARLA DIANE LANE
JONESBORO, AR
NPI
1093107666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-02-19
Last Update Date
2018-05-10
Business Address
CARLA DIANE LANE MHPP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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Mailing Address
CARLA DIANE LANE MHPP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
Copy
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