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1073715256
CHRISTIAN NILSON KIMBROUGH
JACKSONVILLE, AR
NPI
1073715256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- CHRISTIAN NILSON KIMBROUGH
511-8 STONEWALL SQ
JACKSONVILLE, AR 72206
Phone number: 501-982-0518
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Mailing Address
-- CHRISTIAN NILSON KIMBROUGH
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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