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1942846563
LISA MCDANIEL
RUSSELLVILLE, AR
NPI
1942846563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
LISA MCDANIEL
2504 W MAIN ST
RUSSELLVILLE, AR 72801-2533
Phone number: 479-967-2024
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Mailing Address
LISA MCDANIEL
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-968-1298
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