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1124299052
MICHAEL BURKS
CONWAY, AR
NPI
1124299052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-03-19
Last Update Date
2009-01-01
Business Address
-- MICHAEL BURKS CMP
707 ROBINS ST
CONWAY, AR 72034-6565
Phone number: 501-548-9905
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Mailing Address
-- MICHAEL BURKS CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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