GARY MICHAEL SHORT

FAYETTEVILLE, AR
NPI1962650663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-09-05
Last Update Date2008-09-05
Business Address
-- GARY MICHAEL SHORT MHPP/RN
2805 E ZION RD
FAYETTEVILLE, AR 72703-5195
Phone number: 479-443-6496
Mailing Address
-- GARY MICHAEL SHORT MHPP/RN
4253 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4593
Phone number: 479-521-5731
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