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1235812090
KENNEDY DIANA LANGSTON
FAYETTEVILLE, AR
NPI
1235812090
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Former Name
KENNEDY DIANA WELLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
KENNEDY DIANA LANGSTON
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
KENNEDY DIANA LANGSTON
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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