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1467631556
BRENDA SUE JACKSON
BENTONVILLE, AR
NPI
1467631556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-25
Last Update Date
2011-06-03
Business Address
-- BRENDA SUE JACKSON MHPP
2508 S.E. 20TH
BENTONVILLE, AR 72712
Phone number: 479-750-2020
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Mailing Address
-- BRENDA SUE JACKSON MHPP
2400 S. 48TH ST
SPRINGDALE, AR 72762
Phone number: 479-750-2020
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