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Organization

VAN BUREN COUNTY AGING PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIMMIE LEON KIRKENDOLL (DIRECTOR)
(501) 745-2244
Entity
Organization

Contact information

Practice address
570 YELLOWJACKET LN, CLINTON, AR 72031-6769
(501) 745-2244
(501) 745-5204
Mailing address
570 YELLOWJACKET LN, CLINTON, AR 72031-6769
(501) 745-2244
(501) 745-5204

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
347C00000X
AR

Other

Enumeration date
05/04/2007
Last updated
08/22/2020
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