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1679891550
SUSAN DOUGLAS
BENTON, AR
NPI
1679891550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-05-17
Last Update Date
2010-05-17
Business Address
-- SUSAN DOUGLAS MHPP
6701 HIGHWAY 67 BLDG 4
BENTON, AR 72015-8909
Phone number: 501-315-3344
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Mailing Address
-- SUSAN DOUGLAS MHPP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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