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1124256102
CORY CHASTAIN
HOXIE, AR
NPI
1124256102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-06-29
Last Update Date
2009-06-29
Business Address
-- CORY CHASTAIN
503 SE LINDSEY ST
HOXIE, AR 72433-2224
Phone number: 870-886-1333
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Mailing Address
-- CORY CHASTAIN
PO BOX 299
HOXIE, AR 72433-0299
Phone number: 870-886-1333
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