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1114153640
KEENON D SHAW
LITTLE ROCK, AR
NPI
1114153640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-06-10
Last Update Date
2009-06-10
Business Address
-- KEENON D SHAW MHPP
7107 W 12TH ST SUITE 201
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
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Mailing Address
-- KEENON D SHAW MHPP
7107 W 12TH ST SUITE 201
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
Copy
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