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1609402361
BRANDY DOUGLAS
NEWPORT, AR
NPI
1609402361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
BRANDY DOUGLAS
210 THIRD ST
NEWPORT, AR 72112-3302
Phone number: 501-315-3344
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Mailing Address
BRANDY DOUGLAS
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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