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1518174754
JARED LILLIS
MOUNTAIN HOME, AR
NPI
1518174754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- JARED LILLIS
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
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Mailing Address
-- JARED LILLIS
2500 HICKORY CIR
MOUNTAIN HOME, AR 72653-9222
Phone number:
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