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1922561851
JARED MICHAEL JOHNSON
CORNING, AR
NPI
1922561851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
JARED MICHAEL JOHNSON
602 DAVID ST
CORNING, AR 72422-7268
Phone number: 870-857-3655
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Mailing Address
JARED MICHAEL JOHNSON
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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