MARQUASE JACKSON

BLYTHEVILLE, AR
NPI1962709667
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-02-16
Last Update Date2011-02-16
Business Address
-- MARQUASE JACKSON
1510 BYRUM RD
BLYTHEVILLE, AR 72315-8033
Phone number: 870-532-2600
Mailing Address
-- MARQUASE JACKSON
326 WALKER BLVD
BLYTHEVILLE, AR 72315-3664
Phone number: 870-762-1794
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