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1407406192
JACOB POWELL
HIGHLAND, AR
NPI
1407406192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-16
Last Update Date
2019-09-16
Business Address
JACOB POWELL QBHP
2012 HIGHWAY 62 412
HIGHLAND, AR 72542-9477
Phone number: 870-856-3337
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Mailing Address
JACOB POWELL QBHP
PO BOX 176
CHEROKEE VILLAGE, AR 72525-0176
Phone number: 479-409-7913
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