MELISSA KELLY PENDERGRASS

JONESBORO, AR
NPI1790004190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-05-25
Last Update Date2010-05-25
Business Address
MELISSA KELLY PENDERGRASS MHPP
1217 STONE ST
JONESBORO, AR 72401-4520
Phone number: 870-972-1268
Mailing Address
MELISSA KELLY PENDERGRASS MHPP
PO BOX 566
MONETTE, AR 72447-0566
Phone number: 870-930-4890
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