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1174992309
CAMERIA BLAKE
CONWAY, AR
NPI
1174992309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- CAMERIA BLAKE MHPP
2215 E OAK ST STE 1
CONWAY, AR 72032-4644
Phone number: 501-336-0511
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Mailing Address
-- CAMERIA BLAKE MHPP
2215 E OAK ST STE 1
CONWAY, AR 72032-4644
Phone number: 501-336-0511
Copy
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