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1013260777
BRETT IVY
JONESBORO, AR
NPI
1013260777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
-- BRETT IVY
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72401
Phone number: 870-933-6886
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Mailing Address
-- BRETT IVY
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72401
Phone number: 870-933-6886
Copy
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