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1790821510
THEL LATITIA JACKSON-EARLS
NEWPORT, AR
NPI
1790821510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
MRS. THEL LATITIA JACKSON-EARLS
1507 PECAN STREET
NEWPORT, AR 72112-0571
Phone number: 870-523-3643
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Mailing Address
MRS. THEL LATITIA JACKSON-EARLS
90 DRY RUN CIR
BATESVILLE, AR 72501-8368
Phone number: 870-834-3935
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