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Individual

CARA LEE PEMBERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1698 MISSOURI AVE, HARRISON, AR 72601-5965
(870) 754-4602
Mailing address
1698 MISSOURI AVE, HARRISON, AR 72601-5965
(870) 754-4602

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/29/2013
Last updated
12/05/2014
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