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1104245182
BENNIE OUSLEY
BLYTHEVILLE, AR
NPI
1104245182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-04-07
Last Update Date
2014-04-07
Business Address
Mr. BENNIE OUSLEY
829 E MAIN ST
BLYTHEVILLE, AR 72315-2521
Phone number: 870-714-2188
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Mailing Address
Mr. BENNIE OUSLEY
PO BOX 6
BLYTHEVILLE, AR 72316-0006
Phone number: 870-714-2188
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