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1396974838
JEREMY C FUNDERBURG
EL DORADO, AR
NPI
1396974838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
JEREMY C FUNDERBURG
217 S JEFFERSON AVE STE 100
EL DORADO, AR 71730-5900
Phone number: 870-862-7984
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Mailing Address
JEREMY C FUNDERBURG
217 S JEFFERSON AVE STE 100
EL DORADO, AR 71730-5900
Phone number: 870-862-7984
Copy
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