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1760651103
TRACI LYNN KETCHUM
LITTLE ROCK, AR
NPI
1760651103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-02-29
Last Update Date
2008-02-29
Business Address
Mrs. TRACI LYNN KETCHUM
5905 FOREST PL SUITE 100
LITTLE ROCK, AR 72207-5244
Phone number: 501-666-4949
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Mailing Address
Mrs. TRACI LYNN KETCHUM
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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