CARL WAYNE MINER

OSCEOLA, AR
NPI1992004410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2011-03-23
Last Update Date2018-05-11
Business Address
Mr. CARL WAYNE MINER MHPP
3201 W. KEISER AVE
OSCEOLA, AR 72370-3467
Phone number: 870-622-0592
Mailing Address
Mr. CARL WAYNE MINER MHPP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
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