JASON PATE

IMBODEN, AR
NPI1770905077
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-01-06
Last Update Date2014-01-06
Business Address
-- JASON PATE
234 GEORGIA ST
IMBODEN, AR 72434-9304
Phone number: 731-335-2317
Mailing Address
-- JASON PATE
234 GEORGIA ST
IMBODEN, AR 72434-9304
Phone number: 731-335-2317
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