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1215210992
BRANDON JAMES WOLFE
RUSSELLVILLE, AR
NPI
1215210992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
-- BRANDON JAMES WOLFE
110 SKYLINE DRIVE
RUSSELLVILLE, AR 72801
Phone number: 479-968-1298
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Mailing Address
-- BRANDON JAMES WOLFE
350 SALEM ROAD SUITE 1
CONWAY, AR 72034
Phone number: 501-336-8300
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