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1598009516
JUSTIN L FERGUSON
JONESBORO, AR
NPI
1598009516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- JUSTIN L FERGUSON MHPP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- JUSTIN L FERGUSON MHPP
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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