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IAN K ANTONIO

Individual Provider (NPI-1) Active

Case Manager/Care Coordinator

Provider Information

NPI Number
1679159289
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
60 W SUNBRIDGE DR, FAYETTEVILLE, AR, 727031822
Phone
(479) 695-1240

Specialties & Taxonomies

Case Manager/Care Coordinator Primary

All Addresses

MAILING

60 W SUNBRIDGE DR

FAYETTEVILLE, AR, 727031822

(479) 695-1240

LOCATION

60 W SUNBRIDGE DR

FAYETTEVILLE, AR, 727031822

(479) 695-1240