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1497049795
LACI SELF
BARLING, AR
NPI
1497049795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-03
Last Update Date
2011-06-03
Business Address
-- LACI SELF
1311 FORT STREET, SUITE J
BARLING, AR 72923
Phone number: 479-452-5040
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Mailing Address
-- LACI SELF
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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