CHARLES SULLIVAN

CONWAY, AR
NPI1417193723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-12-17
Last Update Date2009-08-14
Business Address
-- CHARLES SULLIVAN CMP
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-548-9905
Mailing Address
-- CHARLES SULLIVAN CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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