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1124393905
BRIANNE D BERGQUIST
TEXARKANA, AR
NPI
1124393905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-03-13
Last Update Date
2012-03-13
Business Address
Miss BRIANNE D BERGQUIST
1202 N STATELINE AVE
TEXARKANA, AR 71854-4969
Phone number: 870-774-0920
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Mailing Address
Miss BRIANNE D BERGQUIST
221 E ALTENA AVE
DE QUEEN, AR 71832-2673
Phone number: 870-774-0920
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