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1295063501
JACOB VERNON RODGERS
RUSSELLVILLE, AR
NPI
1295063501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-11-24
Last Update Date
2009-11-24
Business Address
-- JACOB VERNON RODGERS
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-968-1298
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Mailing Address
-- JACOB VERNON RODGERS
1404 E 16TH ST
RUSSELLVILLE, AR 72802-2648
Phone number: 479-967-2022
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