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1609287853
JERMAINE HANFOR
WEST MEMPHIS, AR
NPI
1609287853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-09
Last Update Date
2014-05-09
Business Address
Mr. JERMAINE HANFOR MHPP
410 S AVALON ST VFW DRIVE
WEST MEMPHIS, AR 72301-4183
Phone number: 870-394-9577
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Mailing Address
Mr. JERMAINE HANFOR MHPP
703 CALVIN AVERY DR SUITE B
WEST MEMPHIS, AR 72301-6501
Phone number: 870-732-1878
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