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ENOCH ALLEN

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1477185031

Individual Registrant:
 ENOCH  ALLEN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4001 COMMERCIAL CENTER DR STE 2  MARION, AR 72364-9616 US
Tel: 870-732-7920  Fax: 870-732-7923

Contact information for business:
2809 FOREST HOME RD  JONESBORO, AR 72401-5320 US
Tel: 866-972-1216  Fax: --

Registration Information:
NPI: 1477185031
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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