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1255500336
COREY DEWAYNE HAYNIE
MONTICELLO, AR
NPI
1255500336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-02-22
Last Update Date
2008-02-22
Business Address
-- COREY DEWAYNE HAYNIE MHPP
103 N BAILEY
MONTICELLO, AR 71655
Phone number: 870-460-0493
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Mailing Address
-- COREY DEWAYNE HAYNIE MHPP
103 N BAILEY
MONTICELLO, AR 71655
Phone number: 870-460-0493
Copy
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