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1790200921
AUTUMN GOSS
MOUNTAIN HOME, AR
NPI
1790200921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
AUTUMN GOSS
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
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Mailing Address
AUTUMN GOSS
3012 TURMAN DR
JONESBORO, AR 72404-8998
Phone number: 870-819-0200
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