TRAVIS HALLAM

FAYETTEVILLE, AR
NPI1023285467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
-- TRAVIS HALLAM MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
Mailing Address
-- TRAVIS HALLAM MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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