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1477106128
DORINDA LUCILLE WALLACE
PARAGOULD, AR
NPI
1477106128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
Ms. DORINDA LUCILLE WALLACE QBHP
28 SOUTHPOINTE DR
PARAGOULD, AR 72450-6238
Phone number: 870-239-2244
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Mailing Address
Ms. DORINDA LUCILLE WALLACE QBHP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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