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1659094217
SHANESIA RICHARDSON
BENTON, AR
NPI
1659094217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
SHANESIA RICHARDSON
1506 MARY KAY BLVD
BENTON, AR 72015-5199
Phone number: 501-315-3344
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Mailing Address
SHANESIA RICHARDSON
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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