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1770090243
JASPER AHMAD CAMPBELL
FAYETTEVILLE, AR
NPI
1770090243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: AR Ar5510)
Enumeration Date
2018-01-05
Last Update Date
2019-04-08
Business Address
JASPER AHMAD CAMPBELL
31 E CENTER ST STE 200J
FAYETTEVILLE, AR 72701-5348
Phone number: 479-301-8427
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Mailing Address
JASPER AHMAD CAMPBELL
715 CARLTON ST
SPRINGDALE, AR 72762-5103
Phone number: 479-231-6845
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