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1023629284
MATTHEW BANCROFT
FAYETTEVILLE, AR
NPI
1023629284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
MATTHEW BANCROFT
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
MATTHEW BANCROFT
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-725-5115
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