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1235543935
MICKEY GRAHAM
FORT SMITH, AR
NPI
1235543935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-06-20
Last Update Date
2015-05-29
Business Address
-- MICKEY GRAHAM MHPP
1340 S WALDRON RD
FORT SMITH, AR 72903-2556
Phone number: 479-452-5040
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Mailing Address
-- MICKEY GRAHAM MHPP
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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