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1003357997
JAMAAL LANGSTON
BENTON, AR
NPI
1003357997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- JAMAAL LANGSTON
1502 MARK KAY BLVD
BENTON, AR 72015
Phone number: 501-303-3105
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Mailing Address
-- JAMAAL LANGSTON
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-303-3105
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