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1760753511
JOHNNY LYNN BELLEW
TEXARKANA, AR
NPI
1760753511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
JOHNNY LYNN BELLEW
1701 COUNTY AVE
TEXARKANA, AR 71854-4303
Phone number: 870-772-5466
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Mailing Address
JOHNNY LYNN BELLEW
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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