Individual
MR. BENNIE OUSLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(870) 714-2188
Mailing address
PO BOX 6, BLYTHEVILLE, AR 72316-0006
(870) 714-2188
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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