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Organization

UNITED STATES

Active
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Organization

UNITED STATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER TAWANDA BROWN GAINES DR (G/I DEPUTY POLICE OFFICER AT LAW)
(870) 540-9476
Entity
Organization

Contact information

Practice address
0 POPE ST, GOULD, AR 71643
(501) 593-9715
Mailing address
0 POPE ST, GOULD, AR 71643
(501) 593-9715

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—

Other

Enumeration date
01/13/2026
Last updated
08/21/2026
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