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1053687178
KELLEY THOMAS WALTERS
TRUMANN, AR
NPI
1053687178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-03-23
Last Update Date
2018-10-23
Business Address
Mr. KELLEY THOMAS WALTERS QBHP
1704 HWY. 69
TRUMANN, AR 72472
Phone number: 870-483-4003
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Mailing Address
Mr. KELLEY THOMAS WALTERS QBHP
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
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