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1043877608
TRISTAN KOLE MEADOR
JONESBORO, AR
NPI
1043877608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
TRISTAN KOLE MEADOR
1905 RACE ST
JONESBORO, AR 72401-7212
Phone number: 870-933-0523
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Mailing Address
TRISTAN KOLE MEADOR
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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