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1811536634
DOMINIQUE DEAJU VINSON
CONWAY, AR
NPI
1811536634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
DOMINIQUE DEAJU VINSON QBHP
3240 STERMER ROAD
CONWAY, AR 72034
Phone number: 501-327-1701
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Mailing Address
DOMINIQUE DEAJU VINSON QBHP
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-967-5570
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