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1538446307
NICOLE DENISE EWING
LITTLE ROCK, AR
NPI
1538446307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-11-08
Last Update Date
2012-04-27
Business Address
-- NICOLE DENISE EWING MHPP
5412 SOUTHBORO DR
LITTLE ROCK, AR 72209-7870
Phone number: 901-502-9595
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Mailing Address
-- NICOLE DENISE EWING MHPP
5412 SOUTHBORO DR
LITTLE ROCK, AR 72209-7870
Phone number: 901-502-9595
Copy
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