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1841767159
KATRINA LACKEY
CONWAY, AR
NPI
1841767159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
KATRINA LACKEY
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-315-3344
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Mailing Address
KATRINA LACKEY
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 150-130-3311
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