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1578808408
LOUIS E VARDAMAN
BARLING, AR
NPI
1578808408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-12-04
Last Update Date
2012-12-04
Business Address
-- LOUIS E VARDAMAN MHPP
815 FORT ST STE A
BARLING, AR 72923-2180
Phone number: 479-494-5700
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Mailing Address
-- LOUIS E VARDAMAN MHPP
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-1427
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