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1154530004
JEREMY LAWRENCE
OXFORD, AR
NPI
1154530004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-21
Last Update Date
2009-02-06
Business Address
JEREMY LAWRENCE CMP
105 HWY 9
OXFORD, AR 72565-8861
Phone number: 870-258-3244
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Mailing Address
JEREMY LAWRENCE CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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