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1427390335
LATORIA WARE-JACKSON
BLYTHEVILLE, AR
NPI
1427390335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-03-19
Last Update Date
2020-08-20
Business Address
LATORIA WARE-JACKSON
514 CHICKASAWBA ST
BLYTHEVILLE, AR 72315-2722
Phone number: 870-824-2268
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Mailing Address
LATORIA WARE-JACKSON
2809 FOREST HOME RD
JONESBORO, AR 72401-5320
Phone number: 866-972-1268
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