DEVARON LAMAR ANDERSON

BENTON, AR
NPI1528487584
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-04-07
Last Update Date2020-03-18
Business Address
DEVARON LAMAR ANDERSON
1502 MARY KAY BLVD
BENTON, AR 72015-7201
Phone number: 501-315-3344
Mailing Address
DEVARON LAMAR ANDERSON
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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