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1881015873
JACQUE RENEE ROGERS
FAYETTEVILLE, AR
NPI
1881015873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-12-18
Last Update Date
2023-01-10
Business Address
JACQUE RENEE ROGERS MHPP
2403 MAIN DR STE 1AND2
FAYETTEVILLE, AR 72704-5223
Phone number: 479-249-6379
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Mailing Address
JACQUE RENEE ROGERS MHPP
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322
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