CARLA DIANE LANE

JONESBORO, AR
NPI1093107666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-02-19
Last Update Date2018-05-10
Business Address
CARLA DIANE LANE MHPP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
Mailing Address
CARLA DIANE LANE MHPP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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