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1225346588
SHAWNTAY NICOLE COOK
JONESBORO, AR
NPI
1225346588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
-- SHAWNTAY NICOLE COOK MHPP
1217 STONE ST
JONESBORO, AR 72401-4520
Phone number: 870-972-1268
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Mailing Address
-- SHAWNTAY NICOLE COOK MHPP
1217 STONE STREET
JONESBORO, AR 72401
Phone number: 870-934-0847
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