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1639631989
AUTUMN NICHOLE WHITE
FORT SMITH, AR
NPI
1639631989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-04
Last Update Date
2019-04-04
Business Address
AUTUMN NICHOLE WHITE QBHP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
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Mailing Address
AUTUMN NICHOLE WHITE QBHP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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