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1902189590
JERALD MARSHALL
BENTON, AR
NPI
1902189590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-09-21
Last Update Date
2011-09-21
Business Address
-- JERALD MARSHALL Recovery Assistant
6701 HWY 67 S BLDG 4
BENTON, AR 72015
Phone number: 501-315-3344
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Mailing Address
-- JERALD MARSHALL Recovery Assistant
PO BOX 1589
BENTON, AR 72018
Phone number: 501-315-3344
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