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1710275292
NATHANIEL JOHNSON
WEST MEMPHIS, AR
NPI
1710275292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-07-18
Last Update Date
2011-07-20
Business Address
Mr. NATHANIEL JOHNSON
703 CALVIN AVERY DR
WEST MEMPHIS, AR 72301-6501
Phone number: 870-732-1878
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Mailing Address
Mr. NATHANIEL JOHNSON
PO BOX 203
HUGHES, AR 72348-0203
Phone number:
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