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1588969158
SHAWN PAGE
IMBODEN, AR
NPI
1588969158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-01-12
Last Update Date
2011-01-12
Business Address
-- SHAWN PAGE MHPP
609 W 3RD ST
IMBODEN, AR 72434-9099
Phone number: 870-869-1500
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Mailing Address
-- SHAWN PAGE MHPP
3687 HIGHWAY 17 S
NEWPORT, AR 72112-9224
Phone number: 870-869-1500
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