JERRY WHITAKER

MOUNTAIN VIEW, AR
NPI1114345758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-04-01
Last Update Date2014-04-01
Business Address
-- JERRY WHITAKER Recovery Assistant
218 DOGWOOD HOLLOW RD
MOUNTAIN VIEW, AR 72560-7942
Phone number: 501-315-3344
Mailing Address
-- JERRY WHITAKER Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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