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1891971875
JIMMY LEON PHILLIPS
TEXARKANA, AR
NPI
1891971875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-01-21
Last Update Date
2008-01-21
Business Address
-- JIMMY LEON PHILLIPS
4425 JEFFERSON AVE SUITE 106
TEXARKANA, AR 71854-1535
Phone number: 870-216-1700
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Mailing Address
-- JIMMY LEON PHILLIPS
4425 JEFFERSON AVE SUITE 106
TEXARKANA, AR 71854-1535
Phone number: 870-216-1700
Copy
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