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1295409431
MICKEY LAWRENCE CHAUDOIN
BLYTHEVILLE, AR
NPI
1295409431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
MICKEY LAWRENCE CHAUDOIN
209 S LOCKARD ST
BLYTHEVILLE, AR 72315-2541
Phone number: 870-763-2139
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Mailing Address
MICKEY LAWRENCE CHAUDOIN
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number:
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