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1194088229
HOLLIE CLARK
RUSSELLVILLE, AR
NPI
1194088229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
-- HOLLIE CLARK
1305 E MAIN ST
RUSSELLVILLE, AR 72801-5322
Phone number: 479-452-5040
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Mailing Address
-- HOLLIE CLARK
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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