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1225349913
CAALA MARIE FAGAN
BLYTHEVILLE, AR
NPI
1225349913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-28
Last Update Date
2010-06-28
Business Address
-- CAALA MARIE FAGAN ECTD, MHPP
1510 BYRUM RD
BLYTHEVILLE, AR 72315-8033
Phone number: 870-532-2609
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Mailing Address
-- CAALA MARIE FAGAN ECTD, MHPP
1510 BYRUM RD
BLYTHEVILLE, AR 72315-8033
Phone number: 870-532-2609
Copy
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