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1518112085
JUSTIN B PICKENS
LITTLE ROCK, AR
NPI
1518112085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-11-24
Last Update Date
2008-11-24
Business Address
-- JUSTIN B PICKENS MHPP
1014 AUTUMN RD STE 3
LITTLE ROCK, AR 72211-3704
Phone number: 501-221-1941
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Mailing Address
-- JUSTIN B PICKENS MHPP
1014 AUTUMN RD STE 3
LITTLE ROCK, AR 72211-3704
Phone number: 501-221-1941
Copy
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