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1699424135
BRANDON STACKHOUSE
LITTLE ROCK, AR
NPI
1699424135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
BRANDON STACKHOUSE
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
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Mailing Address
BRANDON STACKHOUSE
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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