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Individual

MR. ERIC RAY BROWNDERVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHPP

Contact information

Practice address
1217 STONE ST, JONESBORO, AR 72401-4520
(870) 972-1268
Mailing address
401 W CHERRY AVE # A, JONESBORO, AR 72401-4093
(870) 273-5007

Taxonomy

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

Other

Enumeration date
04/28/2010
Last updated
04/28/2010
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