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1548482417
BRANDON KEITH COOKSEY
SPRINGDALE, AR
NPI
1548482417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
BRANDON KEITH COOKSEY MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762
Phone number: 479-750-2020
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Mailing Address
BRANDON KEITH COOKSEY MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762
Phone number: 479-750-2020
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