Nicole Land CMP

NPI 1316132384 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1316132384
Gender Female
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
304 SHAKE RAG RD
CLINTON AR, 72031-6619, US
Phone (501) 745-6644
Fax
Business Location
PO BOX 1589
BENTON AR, 72018-1589, US
Phone (501) 315-3344
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Nicole Land CMP NPI is 1316132384, taxonomy code is 171M00000X Nicole Land CMP physically located at 304 Shake Rag Rd, Clinton AR, 72031-6619. NPI Number Nicole Land CMP has the Individual type.

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1316132384 NPI number is provided on an as is basis without warranty of any kind. 1316132384 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Land CMP are for informational purposes only.