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1679938948
TIMOTHY JERNIGAN
LITTLE ROCK, AR
NPI
1679938948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- TIMOTHY JERNIGAN MHPP
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
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Mailing Address
-- TIMOTHY JERNIGAN MHPP
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210-5323
Phone number: 501-821-5500
Copy
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