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1265646251
MARTIE L SOUTHERLAND
BARLING, AR
NPI
1265646251
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Other Name
MARTIE L MCCAGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- MARTIE L SOUTHERLAND MHPP
10301 MAYO DR
BARLING, AR 72923-1660
Phone number: 479-494-5740
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Mailing Address
-- MARTIE L SOUTHERLAND MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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