JACKIE DENISE BULLOCK

PRESCOTT, AR
NPI1568874451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-05-27
Last Update Date2014-05-27
Business Address
-- JACKIE DENISE BULLOCK
1658 US HIGHWAY 371
PRESCOTT, AR 71857-7064
Phone number: 870-887-3660
Mailing Address
-- JACKIE DENISE BULLOCK
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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