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1629227715
KRISTEN WALLACE
PARAGOULD, AR
NPI
1629227715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-12
Last Update Date
2008-09-12
Business Address
-- KRISTEN WALLACE
211 N 23RD ST
PARAGOULD, AR 72450-3949
Phone number: 870-335-9483
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Mailing Address
-- KRISTEN WALLACE
4508 STADIUM BLVD
JONESBORO, AR 72404-9675
Phone number: 870-933-6886
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