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1407280621
JOSEPH KALEB WAYNE DAVIS
HARRISON, AR
NPI
1407280621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-23
Last Update Date
2013-08-23
Business Address
-- JOSEPH KALEB WAYNE DAVIS MHPP
823 N MAIN ST
HARRISON, AR 72601-2914
Phone number: 870-741-2960
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Mailing Address
-- JOSEPH KALEB WAYNE DAVIS MHPP
823 N MAIN ST
HARRISON, AR 72601-2914
Phone number: 870-741-2960
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