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1386959146
JILLIAN E VANDERGRIFF
RUSSELLVILLE, AR
NPI
1386959146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
JILLIAN E VANDERGRIFF
110 SKYLINE DR
RUSSELLVILLE, AR 72801-3362
Phone number: 479-968-1298
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Mailing Address
JILLIAN E VANDERGRIFF
1701 DONAGHEY AVE
CONWAY, AR 72032-2511
Phone number: 501-327-1701
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