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1003456427
JAKE FORD
JONESBORO, AR
NPI
1003456427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-14
Last Update Date
2020-01-14
Business Address
JAKE FORD
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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Mailing Address
JAKE FORD
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
Copy
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