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1710137567
MELVIN JACKSON
JONESBORO, AR
NPI
1710137567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-09-29
Last Update Date
2008-09-29
Business Address
-- MELVIN JACKSON
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- MELVIN JACKSON
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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