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1578300802
ANGEL D ORTIZ
FAYETTEVILLE, AR
NPI
1578300802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-07-12
Last Update Date
2024-07-12
Business Address
ANGEL D ORTIZ
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
ANGEL D ORTIZ
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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