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1710399894
NATALIE WALLACE
FAYETTEVILLE, AR
NPI
1710399894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-23
Last Update Date
2014-05-23
Business Address
-- NATALIE WALLACE
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number: 479-521-1427
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Mailing Address
-- NATALIE WALLACE
2806 INWOOD DR
HARRISON, AR 72601-8947
Phone number: 870-577-2595
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