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1265990972
MARTIN MONTGOMERY
PINE BLUFF, AR
NPI
1265990972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
MARTIN MONTGOMERY B.S.
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
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Mailing Address
MARTIN MONTGOMERY B.S.
620 S LAUREL ST
PINE BLUFF, AR 71601-4859
Phone number: 870-534-4900
Copy
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