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1184277089
JACOB RILEY
MOUNTAIN HOME, AR
NPI
1184277089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-19
Last Update Date
2019-07-19
Business Address
JACOB RILEY
353 E 8TH ST
MOUNTAIN HOME, AR 72653-4423
Phone number: 870-701-5141
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Mailing Address
JACOB RILEY
PO BOX 299
HOXIE, AR 72433-0299
Phone number: 870-886-1333
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