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TAQUILLA HATCH MHPP

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

Registrant NPI Number: 1669852455

Individual Registrant:
 TAQUILLA  HATCH MHPP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
123 E 3RD ST  STUTTGART, AR 72160-4348 US
Tel: 870-673-9370  Fax: 870-672-7010

Contact information for business:
123 E 3RD ST  STUTTGART, AR 72160-4348 US
Tel: 870-673-9370  Fax: 870-672-7010

Registration Information:
NPI: 1669852455
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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