WALLACE MONTGOMERY

PINE BLUFF, AR
NPI1053655670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-11-20
Last Update Date2012-11-20
Business Address
-- WALLACE MONTGOMERY
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
Mailing Address
-- WALLACE MONTGOMERY
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
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