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1154615912
SHAVON WILLIS
FORT SMITH, AR
NPI
1154615912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-08
Last Update Date
2019-05-15
Business Address
SHAVON WILLIS MHPP
3906 MORRIS DR
FORT SMITH, AR 72904-6216
Phone number: 479-629-0285
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Mailing Address
SHAVON WILLIS MHPP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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