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1477156495
DESTRA BAXTER
CORNING, AR
NPI
1477156495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-20
Last Update Date
2020-11-20
Business Address
DESTRA BAXTER
602 DAVID ST
CORNING, AR 72422-7268
Phone number: 870-857-3655
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Mailing Address
DESTRA BAXTER
602 DAVID ST
CORNING, AR 72422-7268
Phone number:
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