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1679966014
BLAKE CARTER
PARAGOULD, AR
NPI
1679966014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-03-10
Last Update Date
2015-03-10
Business Address
-- BLAKE CARTER MHPP
2420 LINWOOD DR
PARAGOULD, AR 72450-6122
Phone number: 870-236-5880
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Mailing Address
-- BLAKE CARTER MHPP
2420 LINWOOD DR
PARAGOULD, AR 72450-6122
Phone number: 870-236-5880
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