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1205488137
MALLORY D GUSHARD
CORNING, AR
NPI
1205488137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-11
Last Update Date
2019-07-11
Business Address
MALLORY D GUSHARD QBHP
602 DAVID ST
CORNING, AR 72422-7268
Phone number: 870-857-3655
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Mailing Address
MALLORY D GUSHARD QBHP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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