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1124464102
TANIS FOX
FAYETTEVILLE, AR
NPI
1124464102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-16
Last Update Date
2022-05-17
Business Address
TANIS FOX MHPP
2403 MAIN DR STE 1AND2
FAYETTEVILLE, AR 72704-5223
Phone number: 479-249-6379
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Mailing Address
TANIS FOX MHPP
920 UNIVERSITY DR
RUSSELLVILLE, AR 72801-4303
Phone number: 479-967-2322
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