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1649813304
LAQUISHA R MOORE
FAYETTEVILLE, AR
NPI
1649813304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-24
Last Update Date
2020-07-01
Business Address
LAQUISHA R MOORE BS, QBHP
2153 E JOYCE BLVD STE 201
FAYETTEVILLE, AR 72703-5285
Phone number: 479-575-9471
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Mailing Address
LAQUISHA R MOORE BS, QBHP
2153 E JOYCE BLVD STE 201
FAYETTEVILLE, AR 72703-5285
Phone number: 479-575-9471
Copy
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