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1124807938
ETHAN LYLES
HOT SPRINGS, AR
NPI
1124807938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-22
Last Update Date
2023-09-22
Business Address
ETHAN LYLES
3604 CENTRAL AVE STE C
HOT SPRINGS, AR 71913-6458
Phone number: 501-623-9220
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Mailing Address
ETHAN LYLES
10025 W MARKHAM ST STE 210
LITTLE ROCK, AR 72205-2178
Phone number: 501-663-5473
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