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1992120687
SHATOBECA MOUTRY
WHITE HALL, AR
NPI
1992120687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-03-04
Last Update Date
2014-03-04
Business Address
Mrs. SHATOBECA MOUTRY
204 FRANKIE LN
WHITE HALL, AR 71602-2699
Phone number: 870-247-2305
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Mailing Address
Mrs. SHATOBECA MOUTRY
PO BOX 6625
PINE BLUFF, AR 71611-6625
Phone number: 870-872-0187
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