JIMMY LEON PHILLIPS

TEXARKANA, AR
NPI1891971875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-01-21
Last Update Date2008-01-21
Business Address
-- JIMMY LEON PHILLIPS
4425 JEFFERSON AVE SUITE 106
TEXARKANA, AR 71854-1535
Phone number: 870-216-1700
Mailing Address
-- JIMMY LEON PHILLIPS
4425 JEFFERSON AVE SUITE 106
TEXARKANA, AR 71854-1535
Phone number: 870-216-1700
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