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Individual

CORBAN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
621 E NORTH ST, MAGNOLIA, AR 71753-3120
(870) 234-0739
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720

Taxonomy

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

Other

Enumeration date
11/06/2024
Last updated
11/06/2024
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