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1992084479
BRYANT THOMAS PHELAN
MALVERN, AR
NPI
1992084479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-08-15
Last Update Date
2011-08-15
Business Address
-- BRYANT THOMAS PHELAN
1615 MLK BLVD
MALVERN, AR 72104-2233
Phone number: 501-332-5236
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Mailing Address
-- BRYANT THOMAS PHELAN
1615 MLK BLVD
MALVERN, AR 72104-2233
Phone number: 501-332-5236
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