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1295071785
BRIDGETTE CLARK
MOUNTAIN HOME, AR
NPI
1295071785
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Former Name
BRIDGETTE TROTTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-01-02
Last Update Date
2013-01-02
Business Address
-- BRIDGETTE CLARK MHPP
3348 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653-6544
Phone number: 870-424-9060
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Mailing Address
-- BRIDGETTE CLARK MHPP
3348 HIGHWAY 62 W
MOUNTAIN HOME, AR 72653-6544
Phone number: 870-424-9060
Copy
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