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1063879849
TAMMIE JACKSON
FAYETTEVILLE, AR
NPI
1063879849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-25
Last Update Date
2016-01-25
Business Address
TAMMIE JACKSON
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number: 479-521-1427
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Mailing Address
TAMMIE JACKSON
1624 FRESNO ST APT 25
FORT SMITH, AR 72901-7050
Phone number: 479-632-1116
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