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1861631954
DONALD RAY AUSTIN
BENTON, AR
NPI
1861631954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-02-12
Last Update Date
2009-02-12
Business Address
-- DONALD RAY AUSTIN
100 RIVENDELL DR
BENTON, AR 72019-9188
Phone number: 501-316-1255
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Mailing Address
-- DONALD RAY AUSTIN
100 RIVENDELL DR
BENTON, AR 72019-9188
Phone number: 501-316-1255
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