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1225429434
CAROL IVY
CLINTON, AR
NPI
1225429434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
CAROL IVY DIETARY AIDE
242 SHAKE RAG RD
CLINTON, AR 72031-6629
Phone number: 501-745-6644
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Mailing Address
CAROL IVY DIETARY AIDE
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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