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1093151755
KEISHA MUDGETT
HARRISON, AR
NPI
1093151755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
-- KEISHA MUDGETT MHPP
823 N MAIN ST
HARRISON, AR 72601-2914
Phone number: 870-741-2960
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Mailing Address
-- KEISHA MUDGETT MHPP
823 N MAIN ST
HARRISON, AR 72601-2914
Phone number: 870-741-2960
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