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1326466863
ALISHA CHANTEL TUCKER
CROSSETT, AR
NPI
1326466863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
Mr. ALISHA CHANTEL TUCKER
1802 HWY 82 WEST
CROSSETT, AR 71635
Phone number: 870-364-7248
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Mailing Address
Mr. ALISHA CHANTEL TUCKER
790 ROBERTS DRIVE
MONTICELLO, AR 71655
Phone number: 970-367-2461
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