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1851570949
JACOB PAUL PHANEUF
SPRINGDALE, AR
NPI
1851570949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-10-25
Last Update Date
2007-10-25
Business Address
JACOB PAUL PHANEUF MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
JACOB PAUL PHANEUF MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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