GERALD HOWARD FUNKHOUSER

FAYETTEVILLE, AR
NPI1366617821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: AR  908308853)
Enumeration Date2008-04-25
Last Update Date2008-04-25
Business Address
Mr. GERALD HOWARD FUNKHOUSER CRC CSM
1918 N BIRCH AVE
FAYETTEVILLE, AR 72703-2408
Phone number: 479-442-5600
Mailing Address
Mr. GERALD HOWARD FUNKHOUSER CRC CSM
1918 N BIRCH AVE
FAYETTEVILLE, AR 72703-2408
Phone number: 479-442-5600
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