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1811266299
KAWARD LAVAN JOLLY
LITTLE ROCK, AR
NPI
1811266299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
Mr. KAWARD LAVAN JOLLY
7107 W 12TH ST
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
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Mailing Address
Mr. KAWARD LAVAN JOLLY
7107 W 12TH ST
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
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