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1245552900
JUDY ETHELYN MATTOX
LITTLE ROCK, AR
NPI
1245552900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
-- JUDY ETHELYN MATTOX MHPP
2002 S FILLMORE ST
LITTLE ROCK, AR 72204-4909
Phone number: 501-661-0720
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Mailing Address
-- JUDY ETHELYN MATTOX MHPP
2002 S FILLMORE ST
LITTLE ROCK, AR 72204-4909
Phone number: 501-661-0720
Copy
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