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1972106706
JERRY CLIFFORD BERRY
LITTLE ROCK, AR
NPI
1972106706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AR 100)
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
JERRY CLIFFORD BERRY CIT
8404 BASELINE RD
LITTLE ROCK, AR 72209-4339
Phone number: 501-663-0708
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Mailing Address
JERRY CLIFFORD BERRY CIT
8404 BASELINE RD
LITTLE ROCK, AR 72209-4339
Phone number: 501-663-0708
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