JEFFERY PRUDE

FAYETTEVILLE, AR
NPI1295196533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-03-15
Last Update Date2016-03-15
Business Address
-- JEFFERY PRUDE
4253 N. CROSSOVER
FAYETTEVILLE, AR 72703
Phone number: 479-464-5925
Mailing Address
-- JEFFERY PRUDE
4253 N. CROSSOVER
FAYETTEVILLE, AR 72704
Phone number: 479-464-5925
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