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1467668459
MARISSA KNOWLES
CONWAY, AR
NPI
1467668459
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Former Name
MARISSA NICHOLSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-15
Last Update Date
2011-03-02
Business Address
MARISSA KNOWLES MHPP
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-548-9905
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Mailing Address
MARISSA KNOWLES MHPP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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