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1831627009
JUSTIN AARON LONG
MOUNTAIN HOME, AR
NPI
1831627009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-31
Last Update Date
2017-05-31
Business Address
JUSTIN AARON LONG
707 N CARDINAL DR STE 7
MOUNTAIN HOME, AR 72653-3274
Phone number: 870-425-5644
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Mailing Address
JUSTIN AARON LONG
707 N CARDINAL DR STE 7
MOUNTAIN HOME, AR 72653-3274
Phone number:
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