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1578832044
HOLLY G LAVALLE-ROUSE
HARRISON, AR
NPI
1578832044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
Ms. HOLLY G LAVALLE-ROUSE MHPP
4081 HIGHWAY 7 S
HARRISON, AR 72601-5047
Phone number: 866-308-9925
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Mailing Address
Ms. HOLLY G LAVALLE-ROUSE MHPP
516 S WALNUT ST
HARRISON, AR 72601-5249
Phone number: 870-204-1136
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