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1417591025
ROGER F WICKSER
MOUNTAIN HOME, AR
NPI
1417591025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-06
Last Update Date
2019-11-11
Business Address
ROGER F WICKSER BS, QBHP
707 N CARDINAL DR STE 7
MOUNTAIN HOME, AR 72653-3274
Phone number: 870-425-5644
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Mailing Address
ROGER F WICKSER BS, QBHP
2153 E JOYCE BLVD STE 201
FAYETTEVILLE, AR 72703-5285
Phone number: 479-757-9471
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