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1790121523
MARTHA WEATHEROY
LAKE VILLAGE, AR
NPI
1790121523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-20
Last Update Date
2013-05-20
Business Address
-- MARTHA WEATHEROY MHPP
316 MAIN ST
LAKE VILLAGE, AR 71653-1942
Phone number: 870-265-2186
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Mailing Address
-- MARTHA WEATHEROY MHPP
316 MAIN ST
LAKE VILLAGE, AR 71653-1942
Phone number: 870-265-2186
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