RUSTY WAYNE DAVIS

LITTLE ROCK, AR
NPI1073848081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-10-08
Last Update Date2011-01-06
Business Address
Mr. RUSTY WAYNE DAVIS MHPP
11321 INTERSTATE 30 STE 104
LITTLE ROCK, AR 72209-7064
Phone number: 501-202-7587
Mailing Address
Mr. RUSTY WAYNE DAVIS MHPP
11321 INTERSTATE 30 STE 104
LITTLE ROCK, AR 72209-7064
Phone number: 501-202-7587
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