Ian K Antonio
Ian K Antonio is a Case Manager/Care Coordinator in Fayetteville, Arkansas. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
60 W Sunbridge DrFayetteville, AR 72703-1822
Phone: (479) 695-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1679159289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | March 23, 2021 |
| Certification date | March 23, 2021 |
| Mailing address | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 |
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