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1013325711
CLINTON POWELL
BENTON, AR
NPI
1013325711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- CLINTON POWELL Recovery Assistant
1502 MARY KAY BLVD
BENTON, AR 72015-8909
Phone number: 501-315-3344
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Mailing Address
-- CLINTON POWELL Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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