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1336303262
MELINDA WALLIS
ASH FLAT, AR
NPI
1336303262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-07-10
Last Update Date
2008-07-10
Business Address
-- MELINDA WALLIS
REMINGTON PLAZA 75K HWY 62/142
ASH FLAT, AR 72513
Phone number: 870-994-7060
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Mailing Address
-- MELINDA WALLIS
4508 STADIUM BLVD
JONESBORO, AR 72404-9675
Phone number: 870-933-6886
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