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1417622895
LUCAS MAGGARD
TRUMANN, AR
NPI
1417622895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-09
Last Update Date
2021-08-09
Business Address
LUCAS MAGGARD QBHP
1704 HIGHWAY 69 BLVD
TRUMANN, AR 72472-2029
Phone number: 870-483-4003
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Mailing Address
LUCAS MAGGARD QBHP
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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