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1518564616
LUKE RALLENS
FAYETTEVILLE, AR
NPI
1518564616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AR 000)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
LUKE RALLENS QBHP
3715 N BUSINESS DR
FAYETTEVILLE, AR 72703-5204
Phone number: 479-521-1532
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Mailing Address
LUKE RALLENS QBHP
2885 W BATTLEFIELD ST
SPRINGFIELD, MO 65807-3952
Phone number: 417-761-5214
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