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1972948867
LATISHA WILSON
JONESBORO, AR
NPI
1972948867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-06
Last Update Date
2013-05-06
Business Address
-- LATISHA WILSON MHPP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4000
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Mailing Address
-- LATISHA WILSON MHPP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4000
Copy
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