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1972825198
CHARMAINE LAVONNE WAFER
LITTLE ROCK, AR
NPI
1972825198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-02-16
Last Update Date
2010-02-16
Business Address
Ms. CHARMAINE LAVONNE WAFER
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-7233
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Mailing Address
Ms. CHARMAINE LAVONNE WAFER
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-7233
Copy
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