CHARLES DAVIS

RUSSELLVILLE, AR
NPI1265681084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-09-17
Last Update Date2008-09-17
Business Address
-- CHARLES DAVIS
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-968-1298
Mailing Address
-- CHARLES DAVIS
1400 E 16TH ST
RUSSELLVILLE, AR 72802-2648
Phone number: 479-967-1397
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