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1215221668
ERIC STEPHEN VICKREY
LITTLE ROCK, AR
NPI
1215221668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-02
Last Update Date
2011-06-02
Business Address
ERIC STEPHEN VICKREY MHPP
1600 ALDERSGATE RD
LITTLE ROCK, AR 72205-6614
Phone number: 501-661-0720
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Mailing Address
ERIC STEPHEN VICKREY MHPP
613 N FISHER ST
JONESBORO, AR 72401-2152
Phone number: 501-661-0720
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