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1578014676
THEODORE VANN
MOUNTAIN VIEW, AR
NPI
1578014676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- THEODORE VANN
218 DOGWOOD HOLLOW RD
MOUNTAIN VIEW, AR 72560-7942
Phone number: 501-315-3344
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Mailing Address
-- THEODORE VANN
1718 OLD HOT SPRING HWY
BENTON, AR 72019
Phone number: 501-315-3344
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