JACOB PAUL PHANEUF

SPRINGDALE, AR
NPI1851570949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-10-25
Last Update Date2007-10-25
Business Address
-- JACOB PAUL PHANEUF MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
Mailing Address
-- JACOB PAUL PHANEUF MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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