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1508309121
WALTER ARCHIE
TEXARKANA, AR
NPI
1508309121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- WALTER ARCHIE
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-5028
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Mailing Address
-- WALTER ARCHIE
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-5028
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