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1528423118
SHELBY LOGGINS
FAYETTEVILLE, AR
NPI
1528423118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-23
Last Update Date
2015-12-23
Business Address
SHELBY LOGGINS
2153 E JOYCE BLVD
FAYETTEVILLE, AR 72703-4714
Phone number: 479-575-9471
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Mailing Address
SHELBY LOGGINS
5608 MAXIE CAMP RD
HARRISON, AR 72601-9478
Phone number:
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