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1205084225
ALONZO TERRELL
FAYETTEVILLE, AR
NPI
1205084225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-03
Last Update Date
2008-09-03
Business Address
-- ALONZO TERRELL MHPP
2805 E ZION RD
FAYETTEVILLE, AR 72703-5195
Phone number: 479-443-6496
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Mailing Address
-- ALONZO TERRELL MHPP
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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