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1962768135
LARUE YVETTE JOHNSON
MARION, AR
NPI
1962768135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-04-02
Last Update Date
2012-04-02
Business Address
-- LARUE YVETTE JOHNSON MHPP
4001 COMMERCIAL CENTER DR STE 2
MARION, AR 72364-9616
Phone number: 870-735-4441
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Mailing Address
-- LARUE YVETTE JOHNSON MHPP
4001 COMMERCIAL CENTER DR STE 2
MARION, AR 72364-9616
Phone number: 870-735-4441
Copy
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