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1629622410
JACK RUSSELL HARRISON
NASHVILLE, AR
NPI
1629622410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
JACK RUSSELL HARRISON
201 E HEMPSTEAD ST
NASHVILLE, AR 71852-2552
Phone number: 870-845-3110
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Mailing Address
JACK RUSSELL HARRISON
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number:
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