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1518276005
DEMETRICA GREEN
MAGNOLIA, AR
NPI
1518276005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-09-30
Last Update Date
2010-09-30
Business Address
-- DEMETRICA GREEN
229 A ST
MAGNOLIA, AR 71753-3653
Phone number: 870-234-2600
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Mailing Address
-- DEMETRICA GREEN
229 A ST
MAGNOLIA, AR 71753-3653
Phone number: 870-234-2600
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