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1265253264
DEERICA FARISA
LITTLE ROCK, AR
NPI
1265253264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
DEERICA FARISA
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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Mailing Address
DEERICA FARISA
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Copy
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