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1588035349
DEMARCUS IRVING-BONILLA
TEXARKANA, AR
NPI
1588035349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-19
Last Update Date
2015-10-19
Business Address
DEMARCUS IRVING-BONILLA
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-5028
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Mailing Address
DEMARCUS IRVING-BONILLA
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number:
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