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1346460987
CALISTA EDITH SHAW
SPRINGDALE, AR
NPI
1346460987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- CALISTA EDITH SHAW MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
-- CALISTA EDITH SHAW MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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