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1821731092
LESLIE FULGHAM
CROSSETT, AR
NPI
1821731092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
LESLIE FULGHAM
1308 W 5TH AVE
CROSSETT, AR 71635-2500
Phone number: 870-364-6471
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Mailing Address
LESLIE FULGHAM
1308 W 5TH AVE
CROSSETT, AR 71635-2500
Phone number:
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