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1003678111
ANTONIO LUCIUS
CLARKSVILLE, AR
NPI
1003678111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
ANTONIO LUCIUS
706 N BROWN ST
CLARKSVILLE, AR 72830-2732
Phone number: 501-315-3344
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Mailing Address
ANTONIO LUCIUS
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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