SHANE RIDENOUR

BARLING, AR
NPI1093004111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-03-29
Last Update Date2011-03-29
Business Address
-- SHANE RIDENOUR
1311 FORT STREET
BARLING, AR 72923
Phone number: 479-452-5040
Mailing Address
-- SHANE RIDENOUR
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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