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1386024297
GRANT WILSON
BATESVILLE, AR
NPI
1386024297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-06-05
Last Update Date
2015-06-05
Business Address
GRANT WILSON
25 GAP RD
BATESVILLE, AR 72501-8679
Phone number: 870-793-8900
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Mailing Address
GRANT WILSON
25 GAP RD
BATESVILLE, AR 72501-8679
Phone number:
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