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LATASHA BOOKER

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

Registrant NPI Number: 1881924116

Individual Registrant:
 LATASHA  BOOKER 
Gender: F
Sole Proprietor

Location and contact information for practice:
1005 BALCOM LN  TRUMANN, AR 72472-9502 US
Tel: 870-483-1461  Fax: --

Contact information for business:
1005 BALCOM LN  TRUMANN, AR 72472-9502 US
Tel: --  Fax: --

Registration Information:
NPI: 1881924116
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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