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1477331007
MANUEL ENRIQUE TEJADA
SPRINGDALE, AR
NPI
1477331007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
MANUEL ENRIQUE TEJADA MBA
1380 BAY AVE
SPRINGDALE, AR 72764-7956
Phone number: 479-713-0080
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Mailing Address
MANUEL ENRIQUE TEJADA MBA
1380 BAY AVE
SPRINGDALE, AR 72764-7956
Phone number: 479-713-0080
Copy
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