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1356826218
DELAINA MOORE
BENTON, AR
NPI
1356826218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
DELAINA MOORE
6701 HIGHWAY 67
BENTON, AR 72015-8909
Phone number: 501-315-3344
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Mailing Address
DELAINA MOORE
PO BOX 1589
BENTON, AR 72018-1589
Phone number:
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