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1780430843
CHARLES MITCHELL LEWIS
JACKSONVILLE, AR
NPI
1780430843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
CHARLES MITCHELL LEWIS QBHP
2126 N 1ST ST STE F
JACKSONVILLE, AR 72076-2868
Phone number: 501-982-5000
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Mailing Address
CHARLES MITCHELL LEWIS QBHP
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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