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1225478431
JORDAN BULLOCK
CONWAY, AR
NPI
1225478431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-07-02
Last Update Date
2013-07-02
Business Address
-- JORDAN BULLOCK MHPP
1100 BOB COURTWAY DR SUITE 9
CONWAY, AR 72032-4766
Phone number: 501-328-5525
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Mailing Address
-- JORDAN BULLOCK MHPP
1100 BOB COURTWAY DR SUITE 9
CONWAY, AR 72032-4766
Phone number: 501-328-5525
Copy
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