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1659690725
CHARLES W CROSS
FAYETTEVILLE, AR
NPI
1659690725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-05-27
Last Update Date
2010-05-27
Business Address
-- CHARLES W CROSS MHPP
2805 E ZION RD
FAYETTEVILLE, AR 72703-5195
Phone number: 479-521-5731
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Mailing Address
-- CHARLES W CROSS MHPP
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-1427
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