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1881970549
JAY LEA
BENTON, AR
NPI
1881970549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-10-26
Last Update Date
2015-02-18
Business Address
-- JAY LEA MHPP
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4422
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Mailing Address
-- JAY LEA MHPP
307 E SEVIER ST
BENTON, AR 72015-3934
Phone number: 501-315-4422
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