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1982132197
JOSEPH L RIDGEWAY
BENTON, AR
NPI
1982132197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-01
Last Update Date
2017-06-01
Business Address
JOSEPH L RIDGEWAY Recovery Assistant
6701 HIGHWAY 67
BENTON, AR 72015-8909
Phone number: 501-303-3105
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Mailing Address
JOSEPH L RIDGEWAY Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-303-3105
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