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1134497845
TIM ALLEN
OSCEOLA, AR
NPI
1134497845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
-- TIM ALLEN
3201 W. KEISER AVE.
OSCEOLA, AR 72370
Phone number: 870-622-0592
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Mailing Address
-- TIM ALLEN
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72401
Phone number: 870-933-6886
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