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1306321658
LEISA JEAN BLACKWELL
MOUNTAIN HOME, AR
NPI
1306321658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-02
Last Update Date
2019-03-14
Business Address
LEISA JEAN BLACKWELL
899 BURNETT DR
MOUNTAIN HOME, AR 72653-2909
Phone number: 870-232-4385
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Mailing Address
LEISA JEAN BLACKWELL
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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