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1649549668
TERRANCE STAFFORD
WEST MEMPHIS, AR
NPI
1649549668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-12-20
Last Update Date
2011-12-20
Business Address
MR. TERRANCE STAFFORD MHPP
410 S AVALON ST VFW DRIVE
WEST MEMPHIS, AR 72301-4183
Phone number: 870-394-9575
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Mailing Address
MR. TERRANCE STAFFORD MHPP
703 CALVIN AVERY DR SUITE A
WEST MEMPHIS, AR 72301-6501
Phone number: 870-732-1878
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