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1285102533
COURTNEY LYNN WALLACE
SEARCY, AR
NPI
1285102533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
COURTNEY LYNN WALLACE QBHP
1507 E RACE AVE
SEARCY, AR 72143-4661
Phone number: 501-305-2359
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Mailing Address
COURTNEY LYNN WALLACE QBHP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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