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1609147586
DEVON LATRESIA WILSON
PRESCOTT, AR
NPI
1609147586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
-- DEVON LATRESIA WILSON
1658 HWY 371 NORTH
PRESCOTT, AR 71857-7064
Phone number: 870-887-3660
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Mailing Address
-- DEVON LATRESIA WILSON
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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