JUAN MATA

CLARKSVILLE, AR
NPI1790563864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
JUAN MATA
706 N BROWN ST
CLARKSVILLE, AR 72830-2732
Phone number: 501-315-3344
Mailing Address
JUAN MATA
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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