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1407060403
TERRY RACKLEY
BARLING, AR
NPI
1407060403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- TERRY RACKLEY MHPP
10301 MAYO DR
BARLING, AR 72923-1660
Phone number: 479-494-5740
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Mailing Address
-- TERRY RACKLEY MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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