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1295857753
ROGER BOLEYN
JACKSON, TN
NPI
1295857753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-04
Last Update Date
2009-08-06
Business Address
ROGER BOLEYN CASE MANAGER
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-935-8200
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Mailing Address
ROGER BOLEYN CASE MANAGER
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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