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1508074139
TYRA KILLIAN
MOUNTAIN HOME, AR
NPI
1508074139
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Other Name
TYRA MCGOWAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- TYRA KILLIAN
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
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Mailing Address
-- TYRA KILLIAN
HC 61 BOX 14
CALICO ROCK, AR 72519-9401
Phone number:
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