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1154690022
JACOB SETH ERWIN
MALVERN, AR
NPI
1154690022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-12-22
Last Update Date
2017-04-07
Business Address
JACOB SETH ERWIN RECOVERY ADVOCATE
1628 E PAGE AVE
MALVERN, AR 72104-4524
Phone number: 501-303-3105
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Mailing Address
JACOB SETH ERWIN RECOVERY ADVOCATE
PO BOX 1589
BENTON, AR 72018
Phone number: 501-303-3105
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