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1518500230
MELISSA LEANA BUSTAMANTE
JONESBORO, AR
NPI
1518500230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
MISS MELISSA LEANA BUSTAMANTE QBHP
837 WILLETT ROAD
JONESBORO, AR 72401-7240
Phone number: 870-393-5335
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Mailing Address
MISS MELISSA LEANA BUSTAMANTE QBHP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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