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1235380551
MATTHEW EMANUEL WOMACK
IMBODEN, AR
NPI
1235380551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-10-06
Last Update Date
2008-10-06
Business Address
-- MATTHEW EMANUEL WOMACK MHPP
106 W 3RD ST
IMBODEN, AR 72434-9114
Phone number: 870-869-1500
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Mailing Address
-- MATTHEW EMANUEL WOMACK MHPP
106 W 3RD ST
IMBODEN, AR 72434-9114
Phone number: 870-869-1500
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