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1104963057
KEVIN RUSH
BATESVILLE, AR
NPI
1104963057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Mr. KEVIN RUSH
1355 E MAIN ST
BATESVILLE, AR 72501-3159
Phone number: 870-793-8919
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Mailing Address
Mr. KEVIN RUSH
4040 HARRISON ST
BATESVILLE, AR 72501-9768
Phone number: 870-793-8919
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