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1942778170
PHYLLIS JEAN GABRIEL
MOUNTAIN HOME, AR
NPI
1942778170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
PHYLLIS JEAN GABRIEL QBHP
700 S MAIN ST
MOUNTAIN HOME, AR 72653-4445
Phone number: 870-425-1041
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Mailing Address
PHYLLIS JEAN GABRIEL QBHP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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