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1720214448
LISA F FORTE
TEXARKANA, AR
NPI
1720214448
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Former Name
LISA F TYLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-06-09
Last Update Date
2009-06-09
Business Address
-- LISA F FORTE MHPP
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-5028
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Mailing Address
-- LISA F FORTE MHPP
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-1427
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