Mr. Deandre Lavell Taybore
Mr. Deandre Lavell Taybore is a Case Manager/Care Coordinator in Benton, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
718 Alcoa RdBenton, AR 72015-3406
Phone: (501) 776-4110
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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 | 1942596515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2011 |
| Last updated in NPPES | April 22, 2013 |
| Mailing address | Po Box 1589, Benton, AR 72018-1589 |
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