IVORY V CROCKETT

OSCEOLA, AR
NPI1922373273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-03-20
Last Update Date2020-07-13
Business Address
IVORY V CROCKETT QBHP
3201 W KEISER AVE
OSCEOLA, AR 72370-3467
Phone number: 870-622-0592
Mailing Address
IVORY V CROCKETT QBHP
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886
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