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1205967262
JEFFERY TREY JOHNSON
PRESCOTT, AR
NPI
1205967262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- JEFFERY TREY JOHNSON
1658 HWY 371 WEST
PRESCOTT, AR 71857
Phone number: 870-887-3660
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Mailing Address
-- JEFFERY TREY JOHNSON
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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