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1861529901
REGINIA L NORTH-FANDUWARD
LITTLE ROCK, AR
NPI
1861529901
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Former Name
REGINIA L NORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Mrs. REGINIA L NORTH-FANDUWARD
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
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Mailing Address
Mrs. REGINIA L NORTH-FANDUWARD
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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