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1063629152
KEVIN WEATHERS
MOUNTAIN HOME, AR
NPI
1063629152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-17
Last Update Date
2020-03-20
Business Address
KEVIN WEATHERS
1310 BRADLEY DR
MOUNTAIN HOME, AR 72653-2730
Phone number: 870-424-4021
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Mailing Address
KEVIN WEATHERS
PO BOX 2902
MOUNTAIN HOME, AR 72654-2902
Phone number: 870-573-4829
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