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1992401988
JAIME SHULL
CLINTON, AR
NPI
1992401988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-02-01
Last Update Date
2023-02-03
Business Address
JAIME SHULL
242 SHAKE RAG RD
CLINTON, AR 72031-6629
Phone number: 501-315-3344
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Mailing Address
JAIME SHULL
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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