DAMIEN DEFROE

BENTON, AR
NPI1972754612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-09-30
Last Update Date2008-09-30
Business Address
-- DAMIEN DEFROE CMP
1502 MARY KAY BLVD
BENTON, AR 72015
Phone number: 501-315-3344
Mailing Address
-- DAMIEN DEFROE CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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