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1336741636
WENDELL MARTIN
LITTLE ROCK, AR
NPI
1336741636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
WENDELL MARTIN
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
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Mailing Address
WENDELL MARTIN
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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