JEREMY WAYNE ELLISON

JONESBORO, AR
NPI1770877896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-06-06
Last Update Date2011-06-07
Business Address
-- JEREMY WAYNE ELLISON MHPP
1217 STONE ST
JONESBORO, AR 72401-4520
Phone number: 870-972-1268
Mailing Address
-- JEREMY WAYNE ELLISON MHPP
1217 STONE ST
JONESBORO, AR 72401-4520
Phone number: 870-972-1268
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