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1689014383
JUSTIN HATTENHAUER
BENTONVILLE, AR
NPI
1689014383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-06-27
Last Update Date
2013-06-27
Business Address
-- JUSTIN HATTENHAUER MHPP
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-464-5925
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Mailing Address
-- JUSTIN HATTENHAUER MHPP
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number: 479-521-1427
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