LUCILLE JERRY

BENTON, AR
NPI1639419898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-02-26
Last Update Date2013-03-01
Business Address
-- LUCILLE JERRY Recovery Assistant
1502 MARY KAY BLVD
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
-- LUCILLE JERRY Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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