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1538413620
LARRY WAYNE TAYLOR
MALVERN, AR
NPI
1538413620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-10-29
Last Update Date
2012-10-29
Business Address
LARRY WAYNE TAYLOR
1615 MLK BLVD
MALVERN, AR 72104-2233
Phone number: 501-624-7111
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Mailing Address
LARRY WAYNE TAYLOR
125 DONS WAY
HOT SPRINGS, AR 71913-6478
Phone number: 501-624-7111
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