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1801339056
CHANDLER ROSS CUPP
PARAGOULD, AR
NPI
1801339056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-21
Last Update Date
2016-11-23
Business Address
-- CHANDLER ROSS CUPP MHPP
1101 WEST MORGAN STREET
PARAGOULD, AR 72450
Phone number: 870-335-9483
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Mailing Address
-- CHANDLER ROSS CUPP MHPP
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
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