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1285163964
LARISSA RANDALL
FAYETTEVILLE, AR
NPI
1285163964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-07
Last Update Date
2019-02-25
Business Address
LARISSA RANDALL
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
LARISSA RANDALL
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-750-2020
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