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1366728453
TIM MOORE
NORTH LITTLE ROCK, AR
NPI
1366728453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-11-02
Last Update Date
2011-11-02
Business Address
-- TIM MOORE MHPP
1901 MAIN ST
NORTH LITTLE ROCK, AR 72114-2831
Phone number: 501-955-2674
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Mailing Address
-- TIM MOORE MHPP
1901 MAIN ST
NORTH LITTLE ROCK, AR 72114-2831
Phone number: 501-955-2674
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