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1295923100
JENNIFER PROCTOR
MOUNTAIN HOME, AR
NPI
1295923100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
-- JENNIFER PROCTOR
8 MEDICAL PLZ
MOUNTAIN HOME, AR 72653-2919
Phone number: 870-449-5177
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Mailing Address
-- JENNIFER PROCTOR
PO BOX 1776
MOUNTAIN HOME, AR 72654-1776
Phone number: 870-425-6901
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