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1245663145
MICHELLE WALRAVEN
TEXARKANA, AR
NPI
1245663145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-14
Last Update Date
2013-08-14
Business Address
MICHELLE WALRAVEN MHPP
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-5028
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Mailing Address
MICHELLE WALRAVEN MHPP
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number: 479-521-1427
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