MARK JORDAN FANDUWARD

LITTLE ROCK, AR
NPI1821122664
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- MARK JORDAN FANDUWARD
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
Mailing Address
-- MARK JORDAN FANDUWARD
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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