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DONNA CORDELL MHPP

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1518467836

Individual Registrant:
 DONNA  CORDELL MHPP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2135 MALCOLM AVE  NEWPORT, AR 72112-3631 US
Tel: 870-523-8004  Fax: --

Contact information for business:
703 CALVIN AVERY DR  WEST MEMPHIS, AR 72301-6501 US
Tel: 870-732-1878  Fax: 870-702-7111

Registration Information:
NPI: 1518467836
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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