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1598003980
JAMES TYSON
NEWPORT, AR
NPI
1598003980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-01-21
Last Update Date
2013-01-21
Business Address
JAMES TYSON RECOVERY ASSISTANT
210 THIRD ST
NEWPORT, AR 72112-3302
Phone number: 870-994-2848
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Mailing Address
JAMES TYSON RECOVERY ASSISTANT
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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