LOGAN STANTON

RUSSELLVILLE, AR
NPI1821431701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-04-10
Last Update Date2013-04-10
Business Address
-- LOGAN STANTON recovery Assistant
1000 S HOUSTON AVE
RUSSELLVILLE, AR 72801-5816
Phone number: 501-315-3344
Mailing Address
-- LOGAN STANTON recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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