BLAKE PRATER

IMBODEN, AR
NPI1962730937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-12-02
Last Update Date2009-12-02
Business Address
-- BLAKE PRATER
609 W 3RD ST
IMBODEN, AR 72434-9099
Phone number: 870-869-1500
Mailing Address
-- BLAKE PRATER
609 W 3RD ST
IMBODEN, AR 72434-9099
Phone number: 870-869-1500
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