JOHNATHAN RICHARD

BENTON, AR
NPI1518174853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- JOHNATHAN RICHARD CMP
6701 HIGHWAY 67
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
-- JOHNATHAN RICHARD CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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