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1043426174
LARRY KING
CLINTON, AR
NPI
1043426174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- LARRY KING CMP
304 SHAKE RAG RD
CLINTON, AR 72031-6619
Phone number: 501-745-6644
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Mailing Address
-- LARRY KING CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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