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1679987309
STEPHEN C. GREEN
WHITE HALL, AR
NPI
1679987309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
Mr. STEPHEN C. GREEN B.S.
204 FRANKIE LN
WHITE HALL, AR 71602-2699
Phone number: 870-247-2305
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Mailing Address
Mr. STEPHEN C. GREEN B.S.
2107 W 26TH AVE
PINE BLUFF, AR 71603-5168
Phone number: 817-721-7235
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